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TRADITION HOME CARE, LLC

Company Details

Entity Name: TRADITION HOME CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 21 Jun 2022 (3 years ago)
Document Number: L22000282067
FEI/EIN Number 88-2916911
Address: 240 NW PEACOCK BLVD, SUITE 304A, PORT ST LUCIE, FL 34986
Mail Address: 240 NW PEACOCK BLVD, SUITE 304A, PORT ST LUCIE, FL 34986
ZIP code: 34986
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316679566 2022-06-27 2022-06-27 240 NW PEACOCK BLVD STE 304A, PORT ST LUCIE, FL, 349862274, US 240 NW PEACOCK BLVD STE 304A, PORT ST LUCIE, FL, 349862274, US

Contacts

Phone +1 772-462-6707
Fax 7724626706

Authorized person

Name KERRI C JOHNSON
Role PRESIDENT
Phone 7724626707

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
EVANS, GARY W Agent 240 NW PEACOCK BLVD, SUTIE 304A, PORT ST LUCIE, FL 34986

Manager

Name Role Address
JOHNSON, KERRI C Manager 240 NW PEACOCK BLVD, SUITE 304A, PORT ST LUCIE, FL 34986

Chief Financial Officer

Name Role Address
EVANS, GARY W Chief Financial Officer 240 NW PEACOCK BLVD, SUITE 304A, PORT ST LUCIE, FL 34986

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-01
Florida Limited Liability 2022-06-21

Date of last update: 12 Jan 2025

Sources: Florida Department of State