| Entity Name: | NATIONAL MENTOR HEALTHCARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Dec 2004 (20 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 07 Oct 2020 (5 years ago) |
| Document Number: | M04000005490 |
| FEI/EIN Number |
042893910
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6600 France Avenue South, Suite 350, Edina, MN, 55435, US |
| Mail Address: | 6600 France Avenue South, Suite 350, Edina, MN, 55435, US |
| Place of Formation: | DELAWARE |
| Name | Role | Address |
|---|---|---|
| MARTIN GINA L | Secretary | 6600 France Avenue South, Edina, MN, 55435 |
| Kaufman Philip R | Manager | 6600 France Avenue South, Edina, MN, 55435 |
| Callen David R | Manager | 6600 France Avenue South, Edina, MN, 55435 |
| Szwed Danna M | Manager | 6600 France Avenue South, Edina, MN, 55435 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000048384 | CAPRONA GROUP HOME | EXPIRED | 2019-04-18 | 2024-12-31 | - | 111 NE CAPRONA AVE, PORT SAINT LUCIE, FL, 34983 |
| G19000020527 | NEW HORIZONS VILLAGE | EXPIRED | 2019-02-11 | 2024-12-31 | - | 1275 N RAINBOW LOOP, LECANTO, FL, 34461 |
| G04349900027 | FLORIDA MENTOR | ACTIVE | 2004-12-14 | 2029-12-31 | - | 6600 FRANCE AVE S, SUITE 350, EDINA, MN, 55435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | - |
| LC STMNT OF RA/RO CHG | 2020-10-07 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-10-07 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-07 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2024-02-06 |
| AMENDED ANNUAL REPORT | 2023-09-08 |
| AMENDED ANNUAL REPORT | 2023-08-16 |
| AMENDED ANNUAL REPORT | 2023-08-15 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-28 |
| CORLCRACHG | 2020-10-07 |
| ANNUAL REPORT | 2020-04-01 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 346903040 | 0419730 | 2023-08-11 | 1648 PROVIDENCE CIRCLE, ORLANDO, FL, 32818 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Type | Referral |
| Activity Nr | 2040841 |
| Safety | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19040039 A02 |
| Issuance Date | 2023-08-28 |
| Current Penalty | 6697.2 |
| Initial Penalty | 11162.0 |
| Final Order | 2023-08-31 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Related Event Code (REC) | Referral |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.39(a)(2):The employer did not report within 24-hours a work-related incident resulting in in-patient hospitalization, amputation or the loss of an eye. a) On or about 05/16/2023, at 1648 Providence Circle Orlando, FL 32818, the employer failed to report to OSHA within 24-hours a work-related in-patient hospitalization of an employee. The employer notified OSHA on 06/12/2023 of the in-patient hospitalization. |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Safety |
| Close Conference | 2020-04-06 |
| Case Closed | 2020-08-19 |
Related Activity
| Type | Complaint |
| Activity Nr | 1539190 |
| Safety | Yes |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
