| Entity Name: | CBHH ONE LIFE AGENCY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2020 (4 years ago) |
| Document Number: | L20000305020 |
| FEI/EIN Number | 85-3381548 |
| Address: | 10737 New Kings Rd #101, JACKSONVILLE, FL, 32219, US |
| Mail Address: | 13296 Smithwick Lane, Jacksonville, FL, 32226, US |
| ZIP code: | 32219 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821696899 | 2020-10-13 | 2020-10-26 | 13296 SMITHWICK LN, JACKSONVILLE, FL, 322260716, US | 1726 N MAIN ST, JACKSONVILLE, FL, 322064404, US | |||||||||||||||||||||||||||||
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| Phone | +1 865-235-9617 |
| Fax | 9043532793 |
| Phone | +1 505-287-5565 |
Authorized person
| Name | SHELIA G INUSAH |
| Role | CEO |
| Phone | 8652359617 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| INUSAH SHELIA G | Manager | 13296 Smithwick Lane, Jacksonville, FL, 32226 |
| Benjamin Dre M | Manager | 10737 New Kings Rd #101, JACKSONVILLE, FL, 32219 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-19 | 10737 New Kings Rd #101, JACKSONVILLE, FL 32219 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-04 | 10737 New Kings Rd #101, JACKSONVILLE, FL 32219 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-01-04 |
| Florida Limited Liability | 2020-09-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
