| Entity Name: | FIRST CHOICE NURSING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 14 Mar 2022 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000127986 |
| Address: | 4130 NW 21ST AVE, H203, OAKLAND PARK, FL, 33309, UN |
| Mail Address: | 4130 NW 21ST AVE, H203, OAKLAND PARK, FL, 33309, UN |
| ZIP code: | 33309 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841657525 | 2016-01-26 | 2016-01-26 | 2703 COUNTRY CLUB DR, TALLAHASSEE, FL, 323016614, US | 2703 COUNTRY CLUB DR, TALLAHASSEE, FL, 323016614, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-728-2514 |
Authorized person
| Name | TERESA DENISE WHITEHEAD-CARTER |
| Role | OWNER |
| Phone | 8507282514 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014740100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON JERMAINE O | Agent | 4130 NW 21ST AVE, OAKLAND PARK, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| JOHNSON SUZETTE MRN | Manager | 4130 NW 21 AVE, H203, OAKLAND PARK, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-03-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
