| Entity Name: | NICHE MEDICAL STAFFING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Feb 2022 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Feb 2024 (a year ago) |
| Document Number: | M22000004140 |
| FEI/EIN Number | 82-5088727 |
| Address: | 6633 E STATE BLVD STE 200, FT WAYNE, IN 46815 |
| Mail Address: | 6633 E STATE BLVD STE 200, 3081 East Commercial Blvd, Suite 103, Fort Lauderdale, FL 33308 |
| Place of Formation: | INDIANA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528829660 | 2024-01-16 | 2024-06-04 | 6633 E STATE BLVD STE 125A, FORT WAYNE, IN, 468157035, US | 3081 E COMMERCIAL BLVD STE 103, FORT LAUDERDALE, FL, 333084329, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 260-602-9820 |
Authorized person
| Name | ERIKA WILSON |
| Role | PRESIDENT |
| Phone | 2606029820 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| 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 | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Name | Role |
|---|---|
| LEGALINC CORPORATE SERVICES INC. | Agent |
| Name | Role | Address |
|---|---|---|
| WILSON, ERIKA | Member | 6633 E STATE BLVD STE 200, FT WAYNE, IN 46815 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-02-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 6633 E STATE BLVD STE 200, FT WAYNE, IN 46815 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-05 | LEGALINC CORPORATE SERVICES INC. | No data |
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-10 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-05 |
| Foreign Limited | 2022-02-28 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State
