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EVERGREEN PRIVATE CARE OF NORTH CENTRAL FLORIDA, LLC - Florida Company Profile

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Company Details

Entity Name: EVERGREEN PRIVATE CARE OF NORTH CENTRAL FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Aug 2021 (4 years ago)
Document Number: L21000382656
FEI/EIN Number 87-2397145
Address: 7301 SW GAINES AVENUE, STUART, FL, 34997, US
Mail Address: P.O. BOX 1187, HOBE SOUND, FL, 33457, US
ZIP code: 34997
City: Stuart
County: Martin
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SNYDER, II WILLIAM D Manager 7301 SW GAINES AVENUE, STUART, FL, 34997
WHEELER KEREN Manager 7301 SW GAINES AVENUE, STUART, FL, 34997
Tofte Jon W Chief Financial Officer 1102 W Stan Mar Estates Dr, Brazil, IN, 47834
Crary Buchanan PA Agent 759 SW FEDERAL HIGHWAY, STUART, FL, 34994

National Provider Identifier

NPI Number:
1710656376
Certification Date:
2021-09-08

Authorized Person:

Name:
WILLIAM DAVID SNYDER
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000123117 EVERGREEN PRIVATE CARE ACTIVE 2022-09-30 2027-12-31 - 3003 SW COLLEGE ROAD, SUITE 109, OCALA, FL, 34474

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-03-29 Crary Buchanan PA -

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-03-29
ANNUAL REPORT 2022-03-07
Florida Limited Liability 2021-08-26

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Date of last update: 02 Jul 2025

Sources: Florida Department of State