| Entity Name: | GENERATION CHANGERS LIFE CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Dec 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2023 (a year ago) |
| Document Number: | L22000526783 |
| FEI/EIN Number | 93-3305844 |
| Address: | 4690 Lipscomb Street, Ste 6G, Pam Bay, FL, 32905, US |
| Mail Address: | 4690 LIPSCOMB ST, PALM BAY, FL, FL, 32905, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396515623 | 2024-01-08 | 2024-01-11 | 4690 LIPSCOMB ST NE STE 6G, PALM BAY, FL, 329052929, US | 4690 LIPSCOMB ST NE STE 6G, PALM BAY, FL, 329052929, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-795-7094 |
Authorized person
| Name | RACHAEL BROWN |
| Role | OWNER |
| Phone | 3217957094 |
Taxonomy
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 103TM1800X - Intellectual & Developmental Disabilities Psychologist |
| Is Primary | No |
| Taxonomy Code | 163WC0400X - Case Management Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 373H00000X - Day Training/Habilitation Specialist |
| Is Primary | No |
| Taxonomy Code | 374J00000X - Doula |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | Yes |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DISTRIBUTORS, INC HOPE | Agent | 4690 LIPSCOMB ST, MELBOURNE, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| BROWN RACHAEL | President | 4690 Lipscomb St, Palm Bay, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-20 | 4690 Lipscomb Street, Ste 6G, Pam Bay, FL 32905 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-20 | DISTRIBUTORS, INC, HOPE | No data |
| REINSTATEMENT | 2023-09-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-29 | 4690 Lipscomb Street, Ste 6G, Pam Bay, FL 32905 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-20 |
| REINSTATEMENT | 2023-09-29 |
| Florida Limited Liability | 2022-12-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
