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FOUR CORNERS NURSING SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: FOUR CORNERS NURSING SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Sep 2021 (4 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 May 2024 (a year ago)
Document Number: L21000429073
FEI/EIN Number 99-2512554
Address: 1 EAST BROWARD BLVD, FORT LAUDERDALE, FL, 33301, US
Mail Address: 760 WEST EVANSTON CIRCLE, FORT LAUDERDALE, FL, 33312, US
ZIP code: 33301
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
WEBB NICOLA Manager 760 WEST EVANSTON CIRCLE, FORT LAUDERDALE, FL, 33312
INC AUTHORITY RA Agent 390 NORTH ORANGE AVE., STE 2300-N, ORLANDO, FL, 32801

National Provider Identifier

NPI Number:
1366291916
Certification Date:
2024-08-30

Authorized Person:

Name:
MRS. NICOLA WEBB
Role:
ADMINISTRATOR / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
3747P1801X - Personal Care Attendant
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REINSTATEMENT 2024-05-12 - -
CHANGE OF PRINCIPAL ADDRESS 2024-05-12 1 EAST BROWARD BLVD, Suite 700, FORT LAUDERDALE, FL 33312 -
REGISTERED AGENT NAME CHANGED 2024-05-12 INC AUTHORITY RA -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -

Documents

Name Date
REINSTATEMENT 2024-05-12
Florida Limited Liability 2021-09-30

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Date of last update: 02 Aug 2025

Sources: Florida Department of State