| Entity Name: | ELDER SERVICES OF CENTRAL FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Jun 2002 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 22 May 2015 (10 years ago) |
| Document Number: | P02000069767 |
| FEI/EIN Number | 030464426 |
| Address: | 902 SOUTH FLORIDA AVE, SUITE 205, LAKELAND, FL, 33803, US |
| Mail Address: | 902 SOUTH FLORIDA AVE, SUITE 205, LAKELAND, FL, 33803, US |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780175273 | 2018-05-21 | 2018-05-29 | 902 S FLORIDA AVE STE 201, LAKELAND, FL, 338031183, US | 17901 HUNTING BOW CIR STE 101, LUTZ, FL, 33558, US | |||||||||||||||||||||||||||
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| Phone | +1 863-701-9100 |
| Fax | 8636448077 |
| Phone | +1 813-920-4440 |
Authorized person
| Name | TRACY DEAN KELLEY |
| Role | CEO |
| Phone | 8637019100 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994676 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000765900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kelley Tracy D | Agent | 902 SOUTH FLORIDA AVE, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| KELLEY TRACY D | President | 902 SOUTH FLORIDA AVE, STE 205, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| KELLEY TRACY D | Vice Treasurer | 902 SOUTH FLORIDA AVE, STE 205, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| KELLEY TRACY D | Director | 902 SOUTH FLORIDA AVE, STE 205, LAKELAND, FL, 33803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000150889 | COMFORT KEEPERS | ACTIVE | 2024-12-12 | 2029-12-31 | No data | 902 S FLORIDA AVE, STE 201, LAKELAND, FL, 33803 |
| G20000104942 | COMFORT KEEPERS | ACTIVE | 2020-08-15 | 2025-12-31 | No data | 902 S FLORIDA AVE, STE 201, LAKELAND, FL, 33803 |
| G19000113514 | COMFORT KEEPERS | ACTIVE | 2019-10-19 | 2029-12-31 | No data | 902 S FLORIDA AVE, SUITE 201, LAKELAND, FL, 33803 |
| G15000052902 | COMFORT KEEPERS | EXPIRED | 2015-06-01 | 2020-12-31 | No data | 902 S. FLORIDA AVENUE, SUITE 201, LAKELAND, FL, 33803 |
| G15000018568 | COMFORT KEEPERS | EXPIRED | 2015-02-20 | 2020-12-31 | No data | 902 S. FLORIDA AVENUE, SUITE 201, LAKELAND, FL, 33803 |
| G02196900169 | COMFORT KEEPERS | ACTIVE | 2002-07-15 | 2027-12-31 | No data | 902 S. FLORIDA AVE., STE 201, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-08 | 902 SOUTH FLORIDA AVE, SUITE 205, LAKELAND, FL 33803 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-08 | 902 SOUTH FLORIDA AVE, SUITE 205, LAKELAND, FL 33803 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-08 | 902 SOUTH FLORIDA AVE, SUITE 205, LAKELAND, FL 33803 | No data |
| NAME CHANGE AMENDMENT | 2015-05-22 | ELDER SERVICES OF CENTRAL FLORIDA, INC. | No data |
| NAME CHANGE AMENDMENT | 2015-02-12 | CK SERVICES OF CENTRAL FLORIDA, INC. | No data |
| REGISTERED AGENT NAME CHANGED | 2014-01-06 | Kelley, Tracy D | No data |
| AMENDMENT | 2010-08-27 | No data | No data |
| AMENDMENT | 2010-08-24 | No data | No data |
| REINSTATEMENT | 2003-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-02-02 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-01-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
