| Entity Name: | TRIDENT HEALTH CARE GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 01 Jul 2024 (8 months ago) |
| Document Number: | L24000295315 |
| Address: | 1345 E GARY ROAD, SUITE 13, LAKELAND, FL 33801 |
| Mail Address: | 1345 E GARY ROAD, SUITE 13, LAKELAND, FL 33801 |
| ZIP code: | 33801 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831918069 | 2024-10-04 | 2024-10-04 | PO BOX 137642, CLERMONT, FL, 347137642, US | 1100 US HIGHWAY 27 UNIT 137642, CLERMONT, FL, 347134107, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 313-926-9747 |
| Phone | +1 539-235-6684 |
Authorized person
| Name | LAKEYAH MONIQUE STARKS |
| Role | CARGIVER |
| Phone | 3139299747 |
Taxonomy
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | Yes |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| STARKS, LAKEYAH M | Agent | 1345 E GARY RD, SUITE 13, LAKELAND, FL 33801 |
| Name | Role | Address |
|---|---|---|
| DUNIGAN, TAMRA Y | Manager | 1345 E GARY RD SUITE 13, LAKELAND, FL 33801 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-01 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
