| Entity Name: | FIVE STAR NURSING STAFFING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 May 2022 (3 years ago) |
| Document Number: | L22000236341 |
| FEI/EIN Number | 88-2322872 |
| Address: | 17368 NW 173RD ROAD, ALACHUA, FL, 32615-0069, US |
| Mail Address: | 17368 NW 173RD ROAD, ALACHUA, FL, 32615-0069, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093555104 | 2024-05-28 | 2024-05-28 | 17368 NW 173RD RD, ALACHUA, FL, 326150069, US | 17368 NW 173RD RD, ALACHUA, FL, 326150069, US | |||||||||||||
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| Phone | +1 251-458-3904 |
Authorized person
| Name | YASHIRA MARIE SHERMAN |
| Role | OWNER |
| Phone | 2514583904 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTH FLORIDA CPR LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Sherman Yashira M | Chief Executive Officer | 17368 NW 173RD ROAD, ALACHUA, FL, 326150069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-31 | 17368 NW 173RD ROAD, ALACHUA, FL 32615-0069 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-31 | 17368 NW 173RD ROAD, ALACHUA, FL 32615-0069 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-31 | 17368 NW 173RD ROAD, ALACHUA, FL 32615-0069 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| AMENDED ANNUAL REPORT | 2023-07-31 |
| ANNUAL REPORT | 2023-01-17 |
| Florida Limited Liability | 2022-05-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
