| Entity Name: | AMERICAN IN-HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jun 2013 (12 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Jun 2024 (7 months ago) |
| Document Number: | M13000003930 |
| FEI/EIN Number | 37-1735170 |
| Address: | 11175 Cicero Dr, Suite 100, ALPHARETTA, GA 30022 |
| Mail Address: | 11175 Cicero Dr, Suite 100, ALPHARETTA, GA 30022 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427446467 | 2014-12-29 | 2024-01-05 | 11175 CICERO DR STE 100, ALPHARETTA, GA, 300221179, US | 9471 BAYMEADOWS RD, SUITE 401, JACKSONVILLE, FL, 322567932, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 678-209-2282 |
| Fax | 6783170953 |
| Phone | +1 904-737-7667 |
| Fax | 9042201930 |
Authorized person
| Name | MR. DOUGLAS HOLLMAN |
| Role | PRESIDENT |
| Phone | 6782092282 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA NURSE REGISTRY LICENSE |
| Number | NR30211295 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GOODMAN, STEVEN | Chief Executive Officer | 11175 CICERO DR SUITE 100, ALPHARETTA, GA 30022 |
| Name | Role | Address |
|---|---|---|
| GOODMAN, KIM | Chief Operating Officer | 11175 CICERO DR SUITE 100, ALPHARETTA, GA 30022 |
| Name | Role | Address |
|---|---|---|
| NEHODA, MATTHEW | Chief Financial Officer | 11175 CICERO DR SUITE 100, ALPHARETTA, GA 30022 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000085811 | CARETIME | ACTIVE | 2023-07-21 | 2028-12-31 | No data | 1800 SE 32ND AVE, OCALA, FL, 34471 |
| G19000085957 | AMERICAN IN-HOME CARE | ACTIVE | 2019-08-14 | 2029-12-31 | No data | 11175 CICERO DR, SUITE 100, ALPHARETTA, GA, 30022 |
| G19000085964 | ADVOCATE IN-HOME CARE | ACTIVE | 2019-08-14 | 2029-12-31 | No data | 11175 CICERO DR, SUITE 100, ALPHARETTA, GA, 30022 |
| G19000085972 | DOUGLAS IN-HOME CARE | ACTIVE | 2019-08-14 | 2029-12-31 | No data | 11175 CICERO DRIVE, SUITE 100, ALPHARETTA, GA, 30022 |
| G19000085962 | WHITSYMS IN-HOME CARE | ACTIVE | 2019-08-14 | 2029-12-31 | No data | 11175 CICERO DR, SUITE 100, ALPHARETTA, GA, 30022 |
| G15000101719 | DOUGLAS HEALTH SERVICES | EXPIRED | 2015-10-05 | 2020-12-31 | No data | 11680 GREAT OAKS WAY, SUITE 170, ALPHARETTA, GA, 30022 |
| G15000044372 | ADVOCATE HOME CARE SERVICES | EXPIRED | 2015-05-04 | 2020-12-31 | No data | 11680 GREAT OAKS WAY, SUITE 170, ALPHARETTA, GA, 30022 |
| G14000116109 | WHITSYMS NURSING SERVICE | EXPIRED | 2014-11-18 | 2019-12-31 | No data | 11680 GREAT OAKS WAY, SUITE 170, ALPHARETTA, GA, 30022 |
| G14000116103 | WHITSYMS NURSING REGISTRY | EXPIRED | 2014-11-18 | 2019-12-31 | No data | 11680 GREAT OAKS WAY, SUITE 170, ALPHARETTA, GA, 30022 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-06-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 11175 Cicero Dr, Suite 100, ALPHARETTA, GA 30022 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 11175 Cicero Dr, Suite 100, ALPHARETTA, GA 30022 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-06-28 |
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-03-28 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
