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ATLANTIC CARE HOME HEALTH JACKSONVILLE LLC

Company Details

Entity Name: ATLANTIC CARE HOME HEALTH JACKSONVILLE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Jul 2023 (2 years ago)
Document Number: L23000353288
FEI/EIN Number 93-2573946
Address: 728 Fentress Blvd, Jacksonville, FL 32114
Mail Address: 163 E. Morse Blvd. Ste. 210, Winter Park, FL 32789
ZIP code: 32114
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164253100 2024-08-12 2024-08-12 163 E MORSE BLVD STE 210, WINTER PARK, FL, 327897415, US 728 FENTRESS BLVD, DAYTONA BEACH, FL, 321141214, US

Contacts

Phone +1 407-270-5501
Fax 4075598971

Authorized person

Name JASON COONS
Role OWNER
Phone 4074842972

Taxonomy

Taxonomy Code 3747A0650X - Attendant Care Provider
Is Primary Yes

Agent

Name Role
JEATHER HOLDINGS LLC Agent

Manager

Name Role
JEATHER HOLDINGS LLC Manager

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-12-18 728 Fentress Blvd, Jacksonville, FL 32114 No data
CHANGE OF PRINCIPAL ADDRESS 2024-09-12 728 Fentress Blvd, Jacksonville, FL 32114 No data

Documents

Name Date
ANNUAL REPORT 2024-03-28
Florida Limited Liability 2023-07-26

Date of last update: 09 Feb 2025

Sources: Florida Department of State