| Entity Name: | COFFEE & GRACE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Sep 2020 (4 years ago) |
| Document Number: | L20000279484 |
| FEI/EIN Number | APPLIED FOR |
| Mail Address: | 1821 NORTH PEARL STREET, JACKSONVILLE, FL, 32206, US |
| Address: | 9612 Spottswood Rd W, Jacksonville, FL, 32208, US |
| ZIP code: | 32208 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750988895 | 2020-10-01 | 2020-10-31 | PO BOX 77581, JACKSONVILLE, FL, 322267581, US | 1821 N PEARL ST STE A, JACKSONVILLE, FL, 322063663, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-474-2192 |
| Fax | 9042120128 |
Authorized person
| Name | MRS. ALYSSA JACOBS |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9044742192 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Name | Role |
|---|---|
| THE YOUNG LAW FIRM OF FLORIDA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| COMMUNITY CARE NETWORK, LLC | Manager | 30 N GOULD ST STE R, SHERIDAN, WY, 82801 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000111309 | HEALTHCARE HEROES | ACTIVE | 2021-08-27 | 2026-12-31 | No data | 9612 SPOTTSWOOD RD W, JACKSONVILLE, FL, 32208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 9612 Spottswood Rd W, Jacksonville, FL 32208 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-30 | The Young Law Firm of Florida, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 815 N Magnolia Ave, STE 200, Orlando, FL 32803 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-24 | 9612 Spottswood Rd W, Jacksonville, FL 32208 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-09-24 |
| Florida Limited Liability | 2020-09-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
