| Entity Name: | SERENE LOVING CARE AT HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2022 (3 years ago) |
| Document Number: | L22000019394 |
| FEI/EIN Number | 87-4325620 |
| Address: | 712 WILLARD AVE, FRUITLAND PARK, FL, 34731, US |
| Mail Address: | 712 WILLARD AVE, FRUITLAND PARK, FL, 34731, US |
| ZIP code: | 34731 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831819564 | 2022-09-01 | 2024-05-24 | 2113 CITRUS BLVD STE B, LEESBURG, FL, 347483018, US | 2113 CITRUS BLVD STE B, LEESBURG, FL, 347483018, US | |||||||||||||||||||||
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| Phone | +1 352-561-8760 |
| Fax | 3526089811 |
Authorized person
| Name | CONSWELLO IBE |
| Role | OWNER |
| Phone | 3525307705 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116965300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| IBE CONSWELLO | Agent | 712 WILLARD AVE, FRUITLAND PARK, FL, 34731 |
| Name | Role | Address |
|---|---|---|
| IBE CONSWELLO | Manager | 712 WILLARD AVE, LEESBURG, FL, 34731 |
| Name | Role | Address |
|---|---|---|
| Robinson Aeriel R | Mgr | 712 Willard Ave, Fruitland Park, FL, 34731 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-20 |
| Florida Limited Liability | 2022-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
