| Entity Name: | GENESIS LOVING CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jan 2024 (a year ago) |
| Document Number: | L24000046641 |
| FEI/EIN Number | 99-0999569 |
| Mail Address: | 6625 ARGYLE FOREST BLVD STE 4 #1029, JACKSONVILLE, FL 32244 |
| Address: | 1848 saga court, Middleburg, FL 32068 |
| ZIP code: | 32068 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629828371 | 2024-03-25 | 2024-03-25 | 6625 ARGYLE FOREST BLVD STE 41029, JACKSONVILLE, FL, 322446670, US | 6625 ARGYLE FOREST BLVD STE 41029, JACKSONVILLE, FL, 322446670, US | |||||||||||||
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| Phone | +1 229-406-0774 |
Authorized person
| Name | NIKISHA BROWN |
| Role | CNA |
| Phone | 2294060774 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| INC AUTHORITY RA | Agent | 390 NORTH ORANGE AVE., STE 2300-N, ORLANDO, FL 32801 |
| Name | Role | Address |
|---|---|---|
| BROWN, NIKISHIA | Manager | 6625 ARGYLE FOREST BLVD STE 4 #1029, JACKSONVILLE, FL 32244 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-25 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
