| Entity Name: | RISE HOME SUPPORTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Aug 2022 (2 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L22000346833 |
| Address: | 217 SE 1ST AVE, OCALA, FL, 34471 |
| Mail Address: | 217 SE 1ST AVE, OCALA, FL, 34471, US |
| ZIP code: | 34471 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366160640 | 2022-08-22 | 2022-08-22 | 217 SE 1ST AVE, OCALA, FL, 344712161, US | 217 SE 1ST AVE, OCALA, FL, 344712161, US | |||||||||||||||||||||||
|
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| Phone | +1 352-877-9779 |
Authorized person
| Name | KELLEY BROWN MOORE |
| Role | OWNER |
| Phone | 3528779779 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 568 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN MOORE KELLEY | Agent | 15516 CATHERINE CIRCLE, GROVELAND, FL, 34736 |
| Name | Role | Address |
|---|---|---|
| BROWN MOORE KELLEY | Manager | 15516 CATHERINE CIRCLE, GROVELAND, FL, 34736 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
