| Entity Name: | HEARTS OF GOLD 4 COMPANIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 04 Feb 2021 (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: | L21000061591 |
| FEI/EIN Number | 86-1766518 |
| Address: | 1540 LAKE SHORE BLVD, JACKSONVILLE, FL 32205 |
| Mail Address: | 1540 LAKE SHORE BLVD, JACKSONVILLE, FL 32205 |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518671197 | 2023-01-09 | 2023-01-09 | 1540 LAKE SHORE BLVD, JACKSONVILLE, FL, 322057218, US | 1540 LAKE SHORE BLVD, JACKSONVILLE, FL, 322057218, US | |||||||||||||||||||
|
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| Phone | +1 904-762-7177 |
Authorized person
| Name | MISS ARIAN SHEREE HARRISON |
| Role | OWNER |
| Phone | 9047627177 |
Taxonomy
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 11635400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRISON, ARIAN | Agent | 1540 LAKE SHORE BLVD, JACKSONVILLE, FL 32205 |
| Name | Role | Address |
|---|---|---|
| HARRISON, ARIAN | Authorized Representative | 1540 LAKE SHORE BLVD, JACKSONVILLE, FL 32205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2023-01-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-11 | HARRISON, ARIAN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2023-01-11 |
| Florida Limited Liability | 2021-02-04 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
