| Entity Name: | OM HEALTH & LIFE CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 01 Oct 2020 (4 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L20000310439 |
| FEI/EIN Number | 85-2448982 |
| Address: | 1661 PALATKA RD., SE PALM BAY, FL 32909 |
| Mail Address: | 1661 PALATKA RD., SE PALM BAY, FL 32909 |
| ZIP code: | 32909 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588271522 | 2020-09-24 | 2020-09-24 | 1661 PALATKA RD SE, PALM BAY, FL, 329095612, US | 1661 PALATKA RD SE, PALM BAY, FL, 329095612, US | |||||||||||||
|
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| Phone | +1 561-506-1447 |
Authorized person
| Name | KIANDRA HARDEN |
| Role | ADMINISTRATOR |
| Phone | 5615061447 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Harden, KiAndra Roylette | Agent | 1661 Palatka Road Southeast, Palm Bay, FL 32909 |
| Name | Role | Address |
|---|---|---|
| HARDEN, KIANDRA R | Authorized Member | 1661 PALATKA RD. SE, PALM BAY, FL 32909 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000001052 | OM LIFE CARE SERVICES | ACTIVE | 2021-01-04 | 2026-12-31 | No data | 1661 PALATKA RD SE, PALM BAY, FL, 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-30 | Harden, KiAndra Roylette | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-30 | 1661 Palatka Road Southeast, Palm Bay, FL 32909 | No data |
| LC AMENDMENT | 2022-12-29 | No data | No data |
| LC AMENDMENT | 2022-12-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-30 |
| LC Amendment | 2022-12-29 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-24 |
| Florida Limited Liability | 2020-10-01 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
