| Entity Name: | GENERATIONAL COMPANION CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Dec 2021 (3 years ago) |
| Document Number: | L21000512312 |
| FEI/EIN Number | 87-3814324 |
| Address: | 3571 Rain Forest Drive West, Jacksonville, FL, 32277, US |
| Mail Address: | 3571 Rain Forest Drive West, Jacksonville, FL, 32277, US |
| ZIP code: | 32277 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255099636 | 2021-12-02 | 2021-12-02 | 3571 RAIN FOREST DR W, JACKSONVILLE, FL, 322779320, US | 3571 RAIN FOREST DR W, JACKSONVILLE, FL, 322779320, US | |||||||||||||||||||||||||
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| Phone | +1 904-537-6722 |
Authorized person
| Name | GWENDOLYN BACON FAIRBANKS |
| Role | OWNER |
| Phone | 9045376722 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BACON FAIRBANKS GWENDOLYN | Agent | 3571 RAIN FOREST DRIVE, JACKSONVILLE, FL, 32277 |
| Name | Role | Address |
|---|---|---|
| BACON FAIRBANKS GWENDOYLN | Authorized Member | 3571 RAIN FOREST DRIVE, JACKSONVILLE, FL, 32277 |
| Name | Role | Address |
|---|---|---|
| FAIRBANKS KEVONNA | Manager | 3571 RAIN FOREST DRIVE, JACKSONVILLE, FL, 32277 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 3571 Rain Forest Drive West, Jacksonville, FL 32277 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-01 | 3571 Rain Forest Drive West, Jacksonville, FL 32277 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-12-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
