| Entity Name: | TAKE CARE PROVIDER SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Apr 2021 (4 years ago) |
| Document Number: | L21000162824 |
| FEI/EIN Number | 86-3114864 |
| Address: | 6897 Lake Mist Ln, Jacksonville, FL, 32210, US |
| Mail Address: | 6897 Lake Mist Ln, Jacksonville, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417536186 | 2021-04-07 | 2021-04-07 | 6897 LAKE MIST LANE, JACKSONVILLE, FL, 32210, US | 6897 LAKE MIST LANE, JACKSONVILLE, FL, 32210, US | |||||||||||||||||||||
|
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| Phone | +1 904-802-1527 |
Authorized person
| Name | TIFFANY G HANNANS |
| Role | OWNER |
| Phone | 9048021527 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HANNANS TIFFANY G | Agent | 6897 Lake Mist Ln, Jacksonville, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| HANNANS TIFFANY G | Manager | 6897 Lake Mist Ln, Jacksonville, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 6897 Lake Mist Ln, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 6897 Lake Mist Ln, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-24 | 6897 Lake Mist Ln, Jacksonville, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-03-24 |
| Florida Limited Liability | 2021-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
