Entity Name: | INTEGRATIVE CARE SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 17 Feb 2022 (3 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 21 Apr 2022 (3 years ago) |
Document Number: | L22000078822 |
FEI/EIN Number | 880884937 |
Address: | 5208 SW 91ST DRIVE, GAINESVILLE, FL, 32608, US |
Mail Address: | 5208 SW 91ST DRIVE, GAINESVILLE, FL, 32608, US |
ZIP code: | 32608 |
County: | Alachua |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972246924 | 2022-04-18 | 2022-04-18 | 5208 SW 91ST DR, GAINESVILLE, FL, 326083006, US | 5208 SW 91ST DR, GAINESVILLE, FL, 326083006, US | |||||||||||||||||||||
|
Phone | +1 352-672-7264 |
Authorized person
Name | ANNA CONKLIN |
Role | OWNER/PRESIDENT |
Phone | 4105074794 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | No |
Taxonomy Code | 3747P1801X - Personal Care Attendant |
Is Primary | No |
Name | Role | Address |
---|---|---|
CONKLIN ANNA J | Agent | 5923 SW 86TH STREET, GAINESVILLE, FL, 32608 |
Name | Role | Address |
---|---|---|
CONKLIN ANNA J | Authorized Member | 5923 SW 86TH STREET, GAINESVILLE, FL, 32608 |
Name | Role | Address |
---|---|---|
CONKLIN GEORGE | Manager | 9183 SW 48TH PLACE, GAINESVILLE, FL, 32608 |
CONKLIN KAREN | Manager | 9183 SW 48TH PLACE, GAINESVILLE, FL, 32608 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G22000048426 | INTEGRATIVE CARE SERVICES | ACTIVE | 2022-04-16 | 2027-12-31 | No data | 5208 SW 91ST DRIVE, GAINESVILLE, FL, 32608 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2022-04-21 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-04-21 | 5208 SW 91ST DRIVE, GAINESVILLE, FL 32608 | No data |
CHANGE OF MAILING ADDRESS | 2022-04-21 | 5208 SW 91ST DRIVE, GAINESVILLE, FL 32608 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-07 |
ANNUAL REPORT | 2023-01-10 |
LC Amendment | 2022-04-21 |
Florida Limited Liability | 2022-02-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State