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CAPITAL HOME HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: CAPITAL HOME HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Aug 2022 (3 years ago)
Last Event: CONVERSION
Event Date Filed: 29 Aug 2022 (3 years ago)
Document Number: L22000375079
FEI/EIN Number 200217712
Mail Address: 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256, US
Address: 306 E 19TH ST. STE. B, PANAMA CITY, FL, 32405-4743, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Rucker David C Chief Executive Officer 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256
Fisher Jeffrey L President 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256
Young Robert G Secretary 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256
YOUNG ROBERT G Agent 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256
Malone Joseph Chief Financial Officer 14752 Misty Pond Loop, Nokomis, FL, 34275
CONCIERGE FLORIDA ACQUISITIONS 4, LLC Authorized Member 4655 SALISBURY ROAD, STE. 110, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1841335908
Certification Date:
2025-05-20

Authorized Person:

Name:
MR. ROBERT G YOUNG
Role:
SECRETARY & CAO
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
9044488855
Fax:
8505534004

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000125178 CONCIERGE HOME CARE ACTIVE 2022-10-06 2027-12-31 - 4655 SALISBURY ROAD,STE 110, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-23 2075 Centre Pointe Blvd, Ste 105, TALLAHASSEE, FL 32308-7835 -
CONVERSION 2022-08-29 - CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P03000098830. CONVERSION NUMBER 300000230073

Documents

Name Date
ANNUAL REPORT 2025-02-10
AMENDED ANNUAL REPORT 2024-11-13
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-02-08
Florida Limited Liability 2022-08-29

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Date of last update: 03 Aug 2025

Sources: Florida Department of State