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FOUR LEAF HOME CARE LLC

Company Details

Entity Name: FOUR LEAF HOME CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Jan 2021 (4 years ago)
Document Number: L21000010876
FEI/EIN Number 86-1458635
Address: 15800 PINES BLVD, STE 3054, PEMBROKE PINES, FL 33029
Mail Address: 8409 BOTTOM WOODS CIRCLE, APT 301, TAMPA, FL 33637
ZIP code: 33029
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1255067120 2022-07-25 2022-07-25 8409 BOTTOM WOODS CIR APT 301, TAMPA, FL, 336375078, US 15800 PINES BLVD STE 3054, PEMBROKE PINES, FL, 330271212, US

Contacts

Phone +1 786-326-5899

Authorized person

Name TAMIKA MCCLENDON
Role OWNER
Phone 7863265899

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Agent

Name Role Address
MCCLENDON, TAMIKA Agent 8409 BOTTOM WOODS CIRCLE, APT 301, TAMPA, FL 33637

Manager

Name Role Address
MCCLENDON, TAMIKA Manager 15800 PINES BLVD SUITE 3054, PEMBROKE PINES, FL 33029

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-29 15800 PINES BLVD, STE 3054, PEMBROKE PINES, FL 33029 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-03-10
Florida Limited Liability 2021-01-04

Date of last update: 15 Jan 2025

Sources: Florida Department of State