| Entity Name: | ELITE REGIONS NEMT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Aug 2022 (3 years ago) |
| Document Number: | L22000339494 |
| FEI/EIN Number | 92-0237479 |
| Address: | 12724 GRAN BAY PKWY W, 410, JACKSONVILLE, FL, 32258 |
| Mail Address: | 7514 HOGAN RD, 201, JACKSONVILLE, FL, 32216 |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154170959 | 2024-05-14 | 2024-05-14 | 7514 HOGAN RD APT 201, JACKSONVILLE, FL, 322164543, US | 7514 HOGAN RD APT 201, JACKSONVILLE, FL, 322164543, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 678-907-1290 |
Authorized person
| Name | EDDIE WELLS |
| Role | CEO |
| Phone | 6789071290 |
Taxonomy
| Taxonomy Code | 261QM1102X - Military Outpatient Operational (Transportable) Component Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1103X - Military Ambulatory Procedure Visits Operational (Transportable) Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM2800X - Methadone Clinic |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
| Taxonomy Code | 332BD1200X - Dialysis Equipment & Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WELLS EDDIE | Agent | 7514 HOGAN RD, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| WELLS EDDIE | Manager | 7514 HOGAN RD 201, JACKSONVILLE, FL, 32216 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
