| Entity Name: | CROSSING CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Feb 2021 (4 years ago) |
| Document Number: | L21000082523 |
| FEI/EIN Number | 862137432 |
| Address: | 3141 S MILITARY TRAIL, SUITE 108, LAKE WORTH, FL, 33463, US |
| Mail Address: | 6066 YERBA BUENA CT, LAKE WORTH, FL, 33467, US |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396465688 | 2022-08-29 | 2024-05-25 | 3141 S MILITARY TRL STE 108, LAKE WORTH, FL, 334632133, US | 3141 S MILITARY TRL STE 108, LAKE WORTH, FL, 334632133, US | |||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-202-8896 |
| Fax | 5612028897 |
Authorized person
| Name | MR. JUPITER FLEURIMON |
| Role | ADMINISTRATOR |
| Phone | 5615749087 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116289600 |
| State | FL |
| Issuer | HHA LICENSE |
| Number | 299996015 |
| State | FL |
| Issuer | HOMEMAKER & COMPANIONS CARE |
| Number | 238960 |
| State | FL |
| Issuer | MEDICAID |
| Number | 121535400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FLEURIMON JUPITER A | Agent | 6066 YERBA BUENA CT, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| Fleurimon Jupiter A | Manager | 6066 YERBA BUENA CT, LAKE WORTH, FL, 33467 |
| fleurimon mozie M | Manager | 6066 Yerba Buena Ct, LAKE WORTH, FL, 33467 |
| fleurimon VENUS m | Manager | 6066 Yerba Buena Ct, Lake Worth, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-27 | 3141 S MILITARY TRAIL, SUITE 108, LAKE WORTH, FL 33463 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-23 | FLEURIMON, JUPITER A | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-06 |
| Florida Limited Liability | 2021-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
