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CONCIERGE CARE OF ORANGE PARK, LLC - Florida Company Profile

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Company Details

Entity Name: CONCIERGE CARE OF ORANGE PARK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Nov 2021 (4 years ago)
Document Number: L21000507666
FEI/EIN Number 85-3755653
Mail Address: 6817 SOUTHPOINT PKWY, JACKSONVILLE, FL, 32216, US
Address: 1857 Wells Rd, orange park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
RALSTON NANCY Manager 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 32216
FRIEDERICHS ASHLEY Manager 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 32216
STIFTER DAVID Manager 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 32216
RALSTON NANCY G Agent 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 32216

National Provider Identifier

NPI Number:
1093473712
Certification Date:
2024-10-23

Authorized Person:

Name:
NANCY RALSTON
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000088140 CONCIERGE CARE ACTIVE 2022-07-26 2027-12-31 - 6817 SOUTHPOINT PARKWAY, SUITE 1004, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2022-06-08 1857 Wells Rd, suite 5b, orange park, FL 32073 -
CHANGE OF PRINCIPAL ADDRESS 2022-05-25 1857 Wells Rd, suite 5b, orange park, FL 32073 -

Documents

Name Date
ANNUAL REPORT 2025-01-13
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-02-10
ANNUAL REPORT 2022-01-08
Florida Limited Liability 2021-11-30

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Date of last update: 02 Jul 2025

Sources: Florida Department of State