| Entity Name: | COMPASSIONATE CARE PRIMARY SERVICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Mar 2021 (4 years ago) |
| Document Number: | L21000147162 |
| FEI/EIN Number | 86-3166874 |
| Address: | 18490 NE 76th Lane, Williston, FL, 32696, US |
| Mail Address: | 18490 NE 76th Lane, Williston, FL, 32696, US |
| ZIP code: | 32696 |
| County: | Levy |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790453041 | 2021-09-01 | 2023-02-20 | 18490 NE 76TH LN, WILLISTON, FL, 326963810, US | 18490 NE 76TH LN, WILLISTON, FL, 326963810, US | |||||||||||||||
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| Phone | +1 352-284-4095 |
| Fax | 6413235203 |
Authorized person
| Name | MRS. DIRONADA GROSS STRANGE |
| Role | NURSE PRACTITIONER |
| Phone | 3522844095 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| McNeil Shuanta | Agent | 23282 NW 179th Place, High Springs, FL, 32643 |
| Name | Role | Address |
|---|---|---|
| Strange Dironada | Auth | 18490 NE 76th Lane, Williston, FL, 32696 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000085298 | COMPASSIONATE TRANSPORT & LOGISTICS | ACTIVE | 2022-07-19 | 2027-12-31 | No data | 18490 NE 76TH LANE, WILLISTON, FL, 32696 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-04 | McNeil, Shuanta | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-04 | 23282 NW 179th Place, High Springs, FL 32643 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-10 | 18490 NE 76th Lane, Williston, FL 32696 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-10 | 18490 NE 76th Lane, Williston, FL 32696 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-16 |
| Florida Limited Liability | 2021-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
