| Entity Name: | GRACEFUL INTEGRITY HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 26 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: | L20000339949 |
| FEI/EIN Number | 85-3798181 |
| Address: | 2936 NW 10TH CT, FORT LAUDERDALE, FL 33311 |
| Mail Address: | 2936 NW 10TH CT, FORT LAUDERDALE, FL 33311 UN |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962088583 | 2021-03-23 | 2021-03-23 | 2936 NW 10TH CT, FORT LAUDERDALE, FL, 333115610, US | 2936 NW 10TH CT, FORT LAUDERDALE, FL, 333115610, US | |||||||||||||||||||
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| Phone | +1 786-419-9003 |
Authorized person
| Name | CATHYNA AMERTIS |
| Role | DIRECTOR/CEO |
| Phone | 7864199003 |
Taxonomy
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109351700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AMERTIS, CATHYNA | Agent | 2936 NW 10TH CT, FORT LAUDERDALE, FL 33311 |
| Name | Role | Address |
|---|---|---|
| AMERTIS, CATHYNA | Manager | 2936 NW 10TH CT, FORT LAUDERDALE, FL 33311 |
| GEDEON, RALPH R | Manager | 2936 NW 10TH CT, FORT LAUDERDALE, FL 33311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-29 |
| Florida Limited Liability | 2020-10-26 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
