| Entity Name: | CRYSTAL'S CARE & COMFORT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Oct 2020 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L20000337428 |
| FEI/EIN Number | 85-3804610 |
| Address: | 1737 PALMERSTON CIRCLE, OCOEE, FL 34761 |
| Mail Address: | 1737 PALMERSTON CIRCLE, OCOEE, FL 34761 |
| ZIP code: | 34761 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861168031 | 2021-08-18 | 2021-08-18 | PO BOX 1299, OCOEE, FL, 347611299, US | 1737 PALMERSTON CIR, OCOEE, FL, 347615114, US | |||||||||||||||||||||||||||
|
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| Phone | +1 770-871-6396 |
Authorized person
| Name | CRYSTAL NORWOOD |
| Role | OWNER |
| Phone | 7708716396 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109865300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NORWOOD, CRYSTAL E | Agent | 1737 PALMERSTON CIRCLE, OCOEE, FL 34761 |
| Name | Role | Address |
|---|---|---|
| NORWOOD, CRYSTAL E | Manager | 1737 PALMERSTON CIRCLE, OCOEE, FL 34761 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-10 |
| Florida Limited Liability | 2020-10-23 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
