| Entity Name: | L&L DIVINE COMMUNITY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 29 Jun 2005 (20 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | N05000006700 |
| FEI/EIN Number | 34-2046824 |
| Address: | 7605 LUEDERS AVE, JACKSONVILLE, FL 32208 |
| Mail Address: | PO BOX 77253, JACKSONVILLE, FL 32226 |
| ZIP code: | 32208 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003246968 | 2013-11-13 | 2013-11-13 | PO BOX 77253, JACKSONVILLE, FL, 322267253, US | 7605 LUEDERS AVE, JACKSONVILLE, FL, 322083443, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-955-2588 |
| Fax | 9047661370 |
Authorized person
| Name | MS. AMANDA MURRAY-HARDEMAN |
| Role | DIRECTOR/OWNER |
| Phone | 9049552588 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 229302 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 689136596 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MURRAY-HARDEMAN, AMANDA S | Agent | 7605 LUEDERS AVE, JACKSONVILLE, FL 32208 |
| Name | Role | Address |
|---|---|---|
| Hardeman, AMANDA S | President | 7605 LUEDERS AVE, JACKSONVILLE, FL 32208 |
| Name | Role | Address |
|---|---|---|
| SCOTT, EVELYN K | Vice President | 12633 SAMPSON ROAD, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| SHAW, SHELANDA | Secretary | 122 ST. HEBREW, QUINCY, FL 32301 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REINSTATEMENT | 2015-10-20 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-03-12 | MURRAY-HARDEMAN, AMANDA S | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-10-30 | 7605 LUEDERS AVE, JACKSONVILLE, FL 32208 | No data |
| CANCEL ADM DISS/REV | 2008-10-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-30 | 7605 LUEDERS AVE, JACKSONVILLE, FL 32208 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2007-07-06 | 7605 LUEDERS AVE, JACKSONVILLE, FL 32208 | No data |
| CANCEL ADM DISS/REV | 2007-07-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-07-14 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-07-09 |
| REINSTATEMENT | 2015-10-20 |
| ANNUAL REPORT | 2014-03-12 |
| ANNUAL REPORT | 2013-02-19 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
