| Entity Name: | ELEVATED NURSING REGISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2024 (a year ago) |
| Document Number: | L24000049329 |
| FEI/EIN Number | 99-1038333 |
| Address: | 2701 W Oakland Park Blvd. Suite 410-16, OAKLAND PARK, FL 33311 |
| Mail Address: | 2701 W Oakland Park Blvd. Suite 410-16, OAKLAND PARK, FL 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164286738 | 2024-02-13 | 2024-02-13 | 2701 W OAKLAND PARK BLVD STE 410-16, OAKLAND PARK, FL, 333111388, US | 2701 W OAKLAND PARK BLVD STE 410-16, OAKLAND PARK, FL, 333111388, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-557-0585 |
Authorized person
| Name | MRS. TIA SUJBALLI HOLNESS |
| Role | ADMINISTRATOR |
| Phone | 9545570585 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SUJBALLI-HOLNESS, TIA N | Agent | 2981 HIBISCUS AVENUE, OAKLAND PARK, FL 33311 |
| Name | Role | Address |
|---|---|---|
| SUJBALLI-HOLNESS, TIA N | Manager | 2981 HIBISCUS AVENUE, OAKLAND PARK, FL 33311 |
| TUCKER, DEDRIE C | Manager | 2981 HIBISCUS AVENUE, OAKLAND PARK, FL 33311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-19 | 2701 W Oakland Park Blvd. Suite 410-16, OAKLAND PARK, FL 33311 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-19 | 2701 W Oakland Park Blvd. Suite 410-16, OAKLAND PARK, FL 33311 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-01-26 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
