| Entity Name: | JATA CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
JATA CARE, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Mar 2021 (4 years ago) |
| Document Number: | L21000112246 |
| FEI/EIN Number |
86-3151001
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1375 GATEWAY BLVD, BOYNTON BEACH, FL 33426 |
| Mail Address: | 3646 NEWPORT AVE, BOYNTON BEACH, FL 33436 |
| ZIP code: | 33426 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821679911 | 2021-04-20 | 2023-09-13 | 1375 GATEWAY BLVD STE 16, BOYNTON BEACH, FL, 334268304, US | 1375 GATEWAY BLVD, BOYNTON BEACH, FL, 334268304, US | |||||||||||||||||||||||||
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| Phone | +1 561-562-1816 |
| Phone | +1 561-577-2734 |
Authorized person
| Name | MS. TAMARA LYNETTE SUKIE |
| Role | OWNER |
| Phone | 5615621816 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1346632734 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUKIE, TAMARA | Agent | 3646 NEWPORT AVE, BOYNTON BEACH, FL 33436 |
| SUKIE, TAMARA | Manager | 3646 NEWPORT AVE, BOYNTON BEACH, FL 33436 |
| SUKIE, JASON | Manager | 3646 NEWPORT AVE, BOYNTON BEACH, FL 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-03-17 | SUKIE, TAMARA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-17 | 3646 NEWPORT AVE, BOYNTON BEACH, FL 33436 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-27 | 1375 GATEWAY BLVD, BOYNTON BEACH, FL 33426 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-17 |
| Florida Limited Liability | 2021-03-09 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
