| Entity Name: | FAITH OVER FEAR HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jan 2021 (4 years ago) |
| Document Number: | L21000015214 |
| FEI/EIN Number | 86-1589579 |
| Address: | 7130 S.Orange Blossom Trail, ORLANDO, FL, 32809, US |
| Mail Address: | 7130 S.Orange Blossom Trail 132, ORLANDO, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700503935 | 2022-10-27 | 2022-10-27 | 173 JENSEN DR, GROVELAND, FL, 347368263, US | 6000 METROWEST BLVD STE 200, ORLANDO, FL, 328357631, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-332-3443 |
Authorized person
| Name | EMELIE QUETANT |
| Role | CLINICAL MANAGER AND ADMINISTRATOR |
| Phone | 3213323443 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 857283 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| QUETANT EMELIE | Agent | 7130 S.Orange Blossom Trail, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| QUETANT EMELIE | President | 7130 S.Orange Blossom Trail, ORLANDO, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| ALFRED ERNEST GJR | Manager | 173 Jensen Dr, Groveland, FL, 33736 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-10-24 | 7130 S.Orange Blossom Trail, 132, ORLANDO, FL 32809 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-04 | 7130 S.Orange Blossom Trail, 132, ORLANDO, FL 32809 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-04 | 7130 S.Orange Blossom Trail, 132, ORLANDO, FL 32809 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-07-18 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
