| Entity Name: | 4MOONS CARE CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Dec 2021 (3 years ago) |
| Document Number: | L22000007775 |
| FEI/EIN Number | 87-4360376 |
| Address: | 11983 TAMIAMI TRAIL NORTH, NAPLES, FL, 34110 |
| Mail Address: | 11983 TAMIAMI TRAIL NORTH, 127, NAPLES, FL, 34110 |
| ZIP code: | 34110 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982356580 | 2022-01-25 | 2023-08-21 | 11983 TAMIAMI TRL N, NAPLES, FL, 341101603, US | 11983 TAMIAMI TRL N, NAPLES, FL, 341101603, US | |||||||||||||||||
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| Phone | +1 239-244-4848 |
Authorized person
| Name | MISAEL PERDOMO |
| Role | ADMINISTRATOR, OWNER |
| Phone | 2392444848 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERDOMO MISAEL | Agent | 1109 S LOOP BLVD, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| PERDOMO MISAEL | Manager | 1109 S LOOP BLVD, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| PERDOMO CAROLINE | Auth | 1109 S LOOP BLVD, LEHIGH ACRES, FL, 33936 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-25 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-20 |
| Florida Limited Liability | 2021-12-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
