| Entity Name: | SOUTHERLY HOME HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2022 (2 years ago) |
| Document Number: | L22000455992 |
| FEI/EIN Number | 92-0789265 |
| Address: | 1279 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| Mail Address: | 1279 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821794561 | 2023-02-03 | 2023-02-03 | 1279 KINGSLEY AVE STE 114, ORANGE PARK, FL, 320734604, US | 1279 KINGSLEY AVE STE 114, ORANGE PARK, FL, 320734604, US | |||||||||||||
|
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| Phone | +1 904-999-9243 |
Authorized person
| Name | KENNETH HOLIFIELD |
| Role | OWNER/CEO |
| Phone | 9049999243 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLIFIELD KENNETH | Agent | 1279 KINGSLEY AVE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| HOLIFIELD KENNETH | Manager | 101 Elm Branch Rd, St John's, FL, 32259 |
| HOLIFIELD GLORIVE | Manager | 101 Elm Branch Rd, St John's, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 1279 KINGSLEY AVE, SUITE 114, ORANGE PARK, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-01 | 1279 KINGSLEY AVE, SUITE 114, ORANGE PARK, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-01 | 1279 KINGSLEY AVE, SUITE 114, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-10-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
