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ATC SENIOR CARE, LLC

Company Details

Entity Name: ATC SENIOR CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 14 Jun 2023 (2 years ago)
Document Number: L23000288271
FEI/EIN Number APPLIED FOR
Address: 740 SUNCREST LOOP, APT.112, CASSELBERRY, FL 32707
Mail Address: 740 SUNCREST LOOP, APT.112, CASSELBERRY, FL 32707
ZIP code: 32707
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588349336 2023-06-20 2023-06-20 740 SUNCREST LOOP APT 112, CASSELBERRY, FL, 327079043, US 740 SUNCREST LOOP APT 112, CASSELBERRY, FL, 327079043, US

Contacts

Phone +1 954-696-9542

Authorized person

Name PIERRELA FERTILE
Role NURSE/CEO
Phone 9546969542

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes
Taxonomy Code 385H00000X - Respite Care
Is Primary No

Agent

Name Role Address
FERTILE, PIERRELA R Agent 740 SUNCREST LOOP, APT.112, CASSELBERRY, FL 32707

Authorized Member

Name Role Address
FERTILE, PIERRELA R Authorized Member 740 SUNCREST LOOP, CASSELBERRY, FL 32707
LEWIS, OJAY C Authorized Member 740 SUNCREST LOOP, CASSELBERRY, FL 32707

Documents

Name Date
ANNUAL REPORT 2024-04-30
Florida Limited Liability 2023-06-14

Date of last update: 10 Feb 2025

Sources: Florida Department of State