| Entity Name: | FOUR CORNERS NURSING SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Sep 2021 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 12 May 2024 (9 months ago) |
| Document Number: | L21000429073 |
| FEI/EIN Number | 99-2512554 |
| Address: | 1 EAST BROWARD BLVD, Suite 700, FORT LAUDERDALE, FL 33312 |
| Mail Address: | 760 WEST EVANSTON CIRCLE, FORT LAUDERDALE, FL 33312 |
| ZIP code: | 33312 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366291916 | 2024-05-16 | 2024-08-30 | 760 W EVANSTON CIR, FORT LAUDERDALE, FL, 333122615, US | 1 E BROWARD BLVD STE 700, FORT LAUDERDALE, FL, 333011876, US | |||||||||||||||||
|
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| Phone | +1 954-661-9741 |
Authorized person
| Name | MRS. NICOLA WEBB |
| Role | ADMINISTRATOR / OWNER |
| Phone | 9546619741 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| INC AUTHORITY RA | Agent | 390 NORTH ORANGE AVE., STE 2300-N, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| WEBB, NICOLA | Manager | 760 WEST EVANSTON CIRCLE, FORT LAUDERDALE, FL 33312 |
| Name | Role | Address |
|---|---|---|
| WEBB, NICOLA | OWNER | 760 WEST EVANSTON CIRCLE, FORT LAUDERDALE, FL 33312 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-05-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-12 | 1 EAST BROWARD BLVD, Suite 700, FORT LAUDERDALE, FL 33312 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-05-12 | INC AUTHORITY RA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-05-12 |
| Florida Limited Liability | 2021-09-30 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
