Entity Name: | PRESTIGE QUALITY CARE SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 09 Sep 2020 (4 years ago) |
Document Number: | L20000271191 |
FEI/EIN Number | 85-2993314 |
Address: | 5640 Timuquana Rd, 1, JAX, FL 32210 |
Mail Address: | 5640 Timuquana Rd, 1, JAX, FL 32210 |
ZIP code: | 32210 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427632397 | 2021-05-07 | 2021-05-07 | 6962 DEER ISLAND RD, JACKSONVILLE, FL, 322444577, US | 5640 TIMUQUANA RD #1, JACKSONVILLE, FL, 32210, US | |||||||||||||
|
Phone | +1 904-234-1059 |
Authorized person
Name | JANICE V WILLIAMS |
Role | OWNER/ OPERATOR |
Phone | 9042341059 |
Taxonomy
Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Williams, Janice V | Agent | 5640 Timuquana Rd, 1, JAX, FL 32210 |
Name | Role | Address |
---|---|---|
REYNOLDS, DESTINY I | Manager | 3323 Martha street, JACKSONVILLE, FL 32209 |
Name | Role | Address |
---|---|---|
WILLIAMS, MARY C | Authorized Person | 8193 HOT SPRINGS DRIVE SO., JAX, FL 32244 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 5640 Timuquana Rd, 1, JAX, FL 32210 | No data |
CHANGE OF MAILING ADDRESS | 2023-04-24 | 5640 Timuquana Rd, 1, JAX, FL 32210 | No data |
REGISTERED AGENT NAME CHANGED | 2023-04-24 | Williams, Janice V | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 5640 Timuquana Rd, 1, JAX, FL 32210 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-04-24 |
ANNUAL REPORT | 2022-04-28 |
ANNUAL REPORT | 2021-02-01 |
Florida Limited Liability | 2020-09-09 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State