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MS PHYLLIS HOMECARE LLC - Florida Company Profile

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Company Details

Entity Name: MS PHYLLIS HOMECARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Apr 2021 (4 years ago)
Document Number: L21000197510
FEI/EIN Number 86-3733554
Address: 16903 Lakeside Drive, Montverde, FL, 34756, US
Mail Address: 1121 Stratton Ave, Groveland, FL, 34736, US
ZIP code: 34756
City: Montverde
County: Lake
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ALFRED PHYLLIS Manager 1121 STRATTON AVE, GROVELAND, FL, 34736
ALFRED PHYLLIS Agent 1121 STRATTON AVE, GROVELAND, FL, 34736

National Provider Identifier

NPI Number:
1417525312
Certification Date:
2023-07-24

Authorized Person:

Name:
MS. PHYLLIS ALFRED
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
374U00000X - Home Health Aide
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fax:
4073867774

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-09 16903 Lakeside Drive, Suite #4, Montverde, FL 34756 -
CHANGE OF MAILING ADDRESS 2022-03-09 16903 Lakeside Drive, Suite #4, Montverde, FL 34756 -

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-01-30
ANNUAL REPORT 2022-03-09
Florida Limited Liability 2021-04-28

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Date of last update: 01 Aug 2025

Sources: Florida Department of State