| Entity Name: | SERENITY HOME CARE SERVICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Dec 2022 (2 years ago) |
| Document Number: | L22000513094 |
| FEI/EIN Number | 88-4362474 |
| Address: | 901 Vicksburg St., DELTONA, FL, 32725, US |
| Mail Address: | 1235 PROVIDENCE BLVD, R#1044, DELTONA, FL, 32725 |
| ZIP code: | 32725 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972219673 | 2023-01-25 | 2023-01-25 | 1235 PROVIDENCE BLVD # 1044, DELTONA, FL, 327257363, US | 1235 PROVIDENCE BLVD # 1044, DELTONA, FL, 327257363, US | |||||||||||||||||||||||||
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| Fax | 2267850355 |
Authorized person
| Name | SHIRIKA JONES |
| Role | DIRECTOR OF HOME CARE |
| Phone | 2267850355 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JONES SHIRIKA | Agent | 901 VICKSBURG, DELTONA, FL, 32725 |
| Name | Role | Address |
|---|---|---|
| JONES SHIRIKA | Manager | 901 VICKSBURG, DELTONA, FL, 33725 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000034901 | COMPASSIONATE HELPERS | ACTIVE | 2023-03-15 | 2028-12-31 | No data | 901 VICKSBURG, DELTONA, FL, 32725 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-08 | 901 Vicksburg St., DELTONA, FL 32725 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-08 |
| Florida Limited Liability | 2022-12-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
