| Entity Name: | G2M4 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Oct 2021 (3 years ago) |
| Document Number: | L21000440333 |
| FEI/EIN Number | 873026057 |
| Address: | 549 NW LAKE WHITNEY PLACE 106, PORT ST. LUCIE, FL, 34986, US |
| Mail Address: | 549 NW LAKE WHITNEY PLACE 106, PORT ST. LUCIE, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215690557 | 2021-10-13 | 2024-03-06 | 549 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL, 349861606, US | 549 NW LAKE WHITNEY PL STE 106, PORT ST LUCIE, FL, 349861606, US | |||||||||||||||||||
|
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| Phone | +1 772-924-3210 |
| Fax | 7729243210 |
Authorized person
| Name | MR. MARK ANTHONY C SANTIAGO |
| Role | OWNER |
| Phone | 7605938262 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SANTIAGO MARK ANTHONY C | Agent | 15667 73RD STREET N, LOXAHATCHEE, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| SANTIAGO MARK ANTHONY C | Authorized Member | 15667 73RD STREET N, LOXAHATCHEE, FL, 33470 |
| SANTIAGO GABRIELA C | Authorized Member | 15667 73RD STREET N, LOXAHATCHEE, FL, 33470 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000144850 | HOME INSTEAD | ACTIVE | 2021-10-28 | 2026-12-31 | No data | 15667 73RD ST N, LOXAHATCHEE, FL, 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-07 | 549 NW LAKE WHITNEY PLACE 106, PORT ST. LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-07 | 549 NW LAKE WHITNEY PLACE 106, PORT ST. LUCIE, FL 34986 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-03-10 |
| Florida Limited Liability | 2021-10-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
