| Entity Name: | PROVIDERS HEALTHCARE STAFFING L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Nov 2022 (2 years ago) |
| Document Number: | L22000471504 |
| FEI/EIN Number | 92-0907965 |
| Address: | 22918 Collridge Drive, LAND O LAKES, FL, 34639, US |
| Mail Address: | P.O Box 2828, LAND O LAKES, FL, 34639, US |
| ZIP code: | 34639 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578279311 | 2023-01-25 | 2023-01-25 | 22918 COLDRIDGE DRIVE, LAND O' LAKES, FL, 34639, US | 2641 STONEWOOD PARK LOOP, LAND O LAKES, FL, 34638, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 813-368-6451 |
Authorized person
| Name | MRS. JESSICA BERT |
| Role | VICE-PRESIDENT |
| Phone | 8133686451 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BERT WILLIE WJR | Agent | 2641 STONEWOOD PARK LOOP, LAND O LAKES, FL, 34638 |
| Name | Role | Address |
|---|---|---|
| BERT WILLIE WJRE | President | 22918 Collridge Drive, LAND O LAKES, FL, 34639 |
| Name | Role | Address |
|---|---|---|
| BERT JESSICA | Vice President | 22918 Collridge Drive, LAND O LAKES, FL, 34639 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000139104 | PROVIDERS HEALTHCARE STAFFING | ACTIVE | 2022-11-08 | 2027-12-31 | No data | 2641 STONEWOOD PARK LOOP, SUITE # 105, LAND O LAKES, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-16 | 22918 Collridge Drive, LAND O LAKES, FL 34639 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-16 | 22918 Collridge Drive, LAND O LAKES, FL 34639 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-04-26 |
| Florida Limited Liability | 2022-11-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
