| Entity Name: | DEVINE COMPANIONS & MEDICAL BILLING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 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: | L22000371391 |
| FEI/EIN Number | 883467749 |
| Address: | 2431 ALOMA AVE, WINTER PARK, FL, 32792, US |
| Mail Address: | 2431 ALOMA AVE, WINTER PARK, FL, 32792, US |
| ZIP code: | 32792 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417429663 | 2018-12-28 | 2022-10-18 | 2431 ALOMA AVE STE 158, WINTER PARK, FL, 327922541, US | 2431 ALOMA AVE # 124, WINTER PARK, FL, 327922541, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-544-9912 |
| Fax | 4075747934 |
Authorized person
| Name | MRS. NERRICA N DEVINE |
| Role | CEO |
| Phone | 4075449912 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024463400 |
| State | FL |
| Issuer | MEDICAID |
| Number | 102594600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEVINE NERRICA N | Agent | 2431 ALOMA AVE, WINTER PARK, FL, 32792 |
| Name | Role | Address |
|---|---|---|
| DEVINE NERRICA N | Authorized Representative | 2431 ALOMA AVE, STE 158, WINTER PARK, FL, 32792 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-11-17 | 2431 ALOMA AVE, STE 124, WINTER PARK, FL 32792 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-17 | 2431 ALOMA AVE, STE 124, WINTER PARK, FL 32792 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-08-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
