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GENESIS HOME HEALTHCARE, LIMITED LIABILITY COMPANY, JACKSONVILLE - Florida Company Profile

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Company Details

Entity Name: GENESIS HOME HEALTHCARE, LIMITED LIABILITY COMPANY, JACKSONVILLE
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 09 Aug 2022 (3 years ago)
Document Number: L22000350690
FEI/EIN Number 88-3922810
Mail Address: 441 APOLLO BEACH BLVD, Apollo Beach, FL, 33572, US
Address: 10175 FORTUNE PARKWAY, 804, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ARTAL JOEL Agent 10175 FORTUNE PARKWAY, JACKSONVILLE, FL, 32256
ARTAL JOEL Manager 10175 FORTUNE PARKWAY, SUITE 804, JACKSONVILLE, FL, 32256
CARACO MARIA C Manager 10175 FORTUNE PARKWAY, SUITE 804, JACKSONVILLE, FL, 32256
CARACO RENE F Manager 10175 FORTUNE PARKWAY, SUITE 804, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1437879798
Certification Date:
2022-08-29

Authorized Person:

Name:
MARIA CARACO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
3747P1801X - Personal Care Attendant
Is Primary:
No

Contacts:

Fax:
8447180076

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000122159 ORIGIN HOME HEALTH CARE ACTIVE 2022-09-28 2027-12-31 - 441 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-11-18 10175 FORTUNE PARKWAY, 804, JACKSONVILLE, FL 32256 -
REGISTERED AGENT ADDRESS CHANGED 2024-11-18 10175 FORTUNE PARKWAY, 804, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2023-02-07 10175 FORTUNE PARKWAY, 804, JACKSONVILLE, FL 32256 -

Documents

Name Date
ANNUAL REPORT 2025-01-15
AMENDED ANNUAL REPORT 2024-11-18
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-02-07
Florida Limited Liability 2022-08-09

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Date of last update: 01 Aug 2025

Sources: Florida Department of State