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INTEGRATIVE CARE SERVICES LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CONKLIN ANNA J Agent 5923 SW 86TH STREET, GAINESVILLE, FL, 32608

Authorized Member

Name Role Address
CONKLIN ANNA J Authorized Member 5923 SW 86TH STREET, GAINESVILLE, FL, 32608

Manager

Name Role Address
CONKLIN GEORGE Manager 9183 SW 48TH PLACE, GAINESVILLE, FL, 32608
CONKLIN KAREN Manager 9183 SW 48TH PLACE, GAINESVILLE, FL, 32608

Fictitious Names

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

Events

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

Documents

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