| Entity Name: | LIFE'S ESSENCE ADULT DAY SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 30 Mar 2015 (10 years ago) |
| Date of dissolution: | 30 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Jun 2020 (5 years ago) |
| Document Number: | N15000003216 |
| FEI/EIN Number | 47-2627399 |
| Address: | 1068 Arlington Rd N, JACKSONVILLE, FL, 32211, US |
| Mail Address: | 1068 Arlington Rd N., JACKSONVILLE, FL, 32211, US |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245747930 | 2018-01-04 | 2018-06-16 | 1068 ARLINGTON RD N, JACKSONVILLE, FL, 322115811, US | 1068 ARLINGTON RD N, JACKSONVILLE, FL, 322115811, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-503-2244 |
| Fax | 9045032284 |
Authorized person
| Name | MRS. BERCLINE DORCELUS |
| Role | CENTER DIRECTOR |
| Phone | 9045032244 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | 9382 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 385H00000X - Respite Care |
| License Number | 9382 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 9382 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Dorcelus Bercline | Agent | 1068 Arlington Rd N., JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| DORCELUS BERCLINE | President | 1068 Arlington Rd N., JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| DORCELUS BERCLINE | Director | 1068 Arlington Rd N., JACKSONVILLE, FL, 32211 |
| DIEUJUSTE NICLASSE | Director | 1068 Arlington Rd N, JACKSONVILLE, FL, 32211 |
| DORCELUS PETERSON | Director | 1068 Arlington Rd N, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| DIEUJUSTE NICLASSE | Treasurer | 1068 Arlington Rd N, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| DORCELUS PETERSON | Secretary | 1068 Arlington Rd N, JACKSONVILLE, FL, 32211 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000025493 | L.E.A.D. SERVICES | EXPIRED | 2015-03-11 | 2020-12-31 | No data | 14533 FENNEY COURT, JACKSONVILLE, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-10 | 1068 Arlington Rd N, JACKSONVILLE, FL 32211 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-10 | 1068 Arlington Rd N, JACKSONVILLE, FL 32211 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-10 | Dorcelus, Bercline | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-10 | 1068 Arlington Rd N., JACKSONVILLE, FL 32211 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-30 |
| ANNUAL REPORT | 2019-03-27 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-03-10 |
| Domestic Non-Profit | 2015-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
