| Entity Name: | AGATE HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2022 (3 years ago) |
| Document Number: | L22000297113 |
| FEI/EIN Number | 88-3062211 |
| Address: | 13410 PARKER COMMONS BLVD STE 103, FORT MYERS, FL 33912 |
| Mail Address: | 13410 PARKER COMMONS BLVD STE 103, FORT MYERS, FL 33912 |
| ZIP code: | 33912 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215656996 | 2022-08-25 | 2023-06-12 | 13410 PARKER COMMONS BLVD STE 103E, FORT MYERS, FL, 339121867, US | 13410 PARKER COMMONS BLVD STE 103E, FORT MYERS, FL, 339121867, US | |||||||||||||||||||||
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| Phone | +1 239-766-2778 |
| Fax | 2393651500 |
| Phone | +1 239-766-2770 |
Authorized person
| Name | KATHIA O ABBA GANA |
| Role | ADMINISTRATOR |
| Phone | 2397662778 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ABBA GANA, KATHIA | Agent | 13410 PARKER COMMONS BLVD STE 103, FORT MYERS, FL 33912 |
| Name | Role | Address |
|---|---|---|
| ABBA GANA, KATHIA | Manager | 13410 PARKER COMMONS BLVD STE 103, FORT MYERS, FL 33912 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-03 |
| AMENDED ANNUAL REPORT | 2023-06-08 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-07-01 |
| CORLCMMRES | 2022-07-01 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
