| Entity Name: | EVERGREEN PRIVATE CARE OF NORTH CENTRAL FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Aug 2021 (3 years ago) |
| Document Number: | L21000382656 |
| FEI/EIN Number | 87-2397145 |
| Address: | 7301 SW GAINES AVENUE, STUART, FL 34997 |
| Mail Address: | P.O. BOX 1187, HOBE SOUND, FL 33457 |
| ZIP code: | 34997 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710656376 | 2021-09-08 | 2021-09-08 | PO BOX 1187, HOBE SOUND, FL, 334751187, US | 3003 SW COLLEGE RD STE 109, OCALA, FL, 344746253, US | |||||||||||
|
|||||||||||||||
| Name | WILLIAM DAVID SNYDER |
| Role | COO |
| Phone | 7728018181 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Crary Buchanan PA | Agent | 759 SW FEDERAL HIGHWAY, SUITE 106, STUART, FL 34994 |
| Name | Role | Address |
|---|---|---|
| SNYDER, II, WILLIAM DAVID | Manager | 7301 SW GAINES AVENUE, STUART, FL 34997 |
| WHEELER, KEREN | Manager | 7301 SW GAINES AVENUE, STUART, FL 34997 |
| Name | Role | Address |
|---|---|---|
| Tofte, Jon Wells | Chief Financial Officer | 1102 W Stan Mar Estates Dr, Brazil, IN 47834 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000123117 | EVERGREEN PRIVATE CARE | ACTIVE | 2022-09-30 | 2027-12-31 | No data | 3003 SW COLLEGE ROAD, SUITE 109, OCALA, FL, 34474 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-29 | Crary Buchanan PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-03-07 |
| Florida Limited Liability | 2021-08-26 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
