| Entity Name: | CONCIERGE CARE OF NE FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jul 2022 (3 years ago) |
| Document Number: | L22000311880 |
| FEI/EIN Number | 88-3418196 |
| Address: | 1857 Wells Rd STE 224, Orange Park, FL, 32073, US |
| Mail Address: | 6817 SOUTHPOINT PARKWAY, SUITE 1004, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376264341 | 2022-09-08 | 2024-10-23 | 6817 SOUTHPOINT PKWY STE 1004, JACKSONVILLE, FL, 322168201, US | 1857 WELLS RD STE 224, ORANGE PARK, FL, 320732340, US | |||||||||||||||||||||
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| Phone | +1 904-534-1655 |
| Phone | +1 904-530-2010 |
Authorized person
| Name | NANCY RALSTON |
| Role | MANAGING PARTNER |
| Phone | 9045341655 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | SENIOR CARE REFERRAL SERVICES |
| Number | 00000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RALSTON NANCY | Agent | 6817 SOUTHPOINT PARKWAY, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| RALSTON NANCY | Manager | 6817 SOUTHPOINT PARKWAY, SUITE1004, JACKSONVILLE, FL, 32216 |
| STIFTER DAVID | Manager | 6817 SOUTHPOINT PARKWAY, SUITE1004, JACKSONVILLE, FL, 32216 |
| FRIEDERICHS ASHLEY | Manager | 6817 SOUTHPOINT PARKWAY, SUITE1004, JACKSONVILLE, FL, 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000088498 | CONCIERGE CARE | ACTIVE | 2022-07-27 | 2027-12-31 | No data | 6817 SOUTHPOINT PARKWAY, SUITE1004, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-02 | 1857 Wells Rd STE 224, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-02-09 |
| Florida Limited Liability | 2022-07-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
