| Entity Name: | PCAH GUSHUE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Oct 2022 (2 years ago) |
| Document Number: | L22000454051 |
| FEI/EIN Number | 884210709 |
| Address: | 1275 SOUTH PATRICK DR STE A-3, SATELLITE BEACH, FL, 32937, US |
| Mail Address: | 1275 SOUTH PATRICK DR STE A-3, SATELLITE BEACH, FL, 32937, US |
| ZIP code: | 32937 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649032889 | 2024-01-24 | 2024-01-24 | 1275 S PATRICK DR # A3, SATELLITE BEACH, FL, 329373963, US | 1275 S PATRICK DR # A3, SATELLITE BEACH, FL, 329373963, US | |||||||||||||||
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| Phone | +1 321-329-5300 |
| Fax | 3213295300 |
Authorized person
| Name | MR. FRED GUSHUE JR. |
| Role | CEO |
| Phone | 3213295300 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GUSHUE FREDERICK JJR. | Agent | 1455 HIGHWAY A1A, SATELLITE BEACH, FL, 32937 |
| Name | Role | Address |
|---|---|---|
| GUSHUE FREDERICK JJR. | Manager | 1455 HIGHWAY A1A 107, SATELLITE BEACH, FL, 32937 |
| GUSHUE TAYLOR S | Manager | 3565 Fodder Dr, Rockledge, FL, 32955 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000132606 | PREFERRED CARE AT HOME OF BREVARD | ACTIVE | 2022-10-24 | 2027-12-31 | No data | 1275 SOUTH PATRICK DR STE A-3, SATELLITE BEACH, FL, 32937 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-09 | 1275 SOUTH PATRICK DR STE A-3, SATELLITE BEACH, FL 32937 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-09 | 1275 SOUTH PATRICK DR STE A-3, SATELLITE BEACH, FL 32937 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-08 |
| ANNUAL REPORT | 2023-03-15 |
| Florida Limited Liability | 2022-10-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
