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SOUTH JACKSONVILLE FL CAREGIVING, LLC

Company Details

Entity Name: SOUTH JACKSONVILLE FL CAREGIVING, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 05 Nov 2020 (4 years ago)
Document Number: M20000010281
FEI/EIN Number 853377003
Address: 1628 San Marco Blvd, Suite 9, Jacksonville, FL, 32207, US
Mail Address: 2612 Washington Ave, WACO, TX, 76710, US
ZIP code: 32207
County: Duval
Place of Formation: TEXAS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952996829 2021-03-03 2021-03-03 209 S 28TH ST, WACO, TX, 767107415, US 1628 SAN MARCO BLVD, JACKSONVILLE, FL, 322073000, US

Contacts

Phone +1 817-991-7836
Phone +1 904-830-6360

Authorized person

Name AVERY LAIN
Role VP BUSINESS DEVELOPMENT
Phone 8179917836

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
HILLMAN MICHAEL T Manager P.O. BOX 8175, WACO, TX, 76714
GIBSON RYAN Manager P.O. BOX 8175, WACO, TX, 76714

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000033749 CORNERSTONE CAREGIVING ACTIVE 2021-03-10 2026-12-31 No data 1628 SAN MARCO BLVD., SUITE 9, JACKSONVILLE, FL, 32207

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-14 1628 San Marco Blvd, Suite 9, Jacksonville, FL 32207 No data
CHANGE OF PRINCIPAL ADDRESS 2021-05-17 1628 San Marco Blvd, Suite 9, Jacksonville, FL 32207 No data

Documents

Name Date
ANNUAL REPORT 2024-02-14
ANNUAL REPORT 2023-01-12
ANNUAL REPORT 2022-01-07
ANNUAL REPORT 2021-05-17
Foreign Limited 2020-11-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State