| Entity Name: | NEVAEH COMMUNITY CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Oct 2004 (20 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P04000139405 |
| FEI/EIN Number | 201661148 |
| Address: | 3107 Spring Glenn Road, 201, JACKSONVILLE, FL, 32207, US |
| Mail Address: | P.O. Box 440024, JACKSONVILLE, FL, 32222, US |
| ZIP code: | 32207 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811310782 | 2014-01-29 | 2014-01-29 | 5150 TIMUQUANA RD STE 14, JACKSONVILLE, FL, 322108925, US | 5150 TIMUQUANA RD STE 14, JACKSONVILLE, FL, 322108925, US | |||||||||||||||||||
|
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| Phone | +1 904-386-3901 |
Authorized person
| Name | LISA MITCHELL |
| Role | PRESIDENT |
| Phone | 9043863901 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 754888596 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITCHELL LISA | Agent | 3107 Spring Glenn Road, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| MITCHELL LISA | President | 3107 Spring Glenn Road, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| MITCHELL LISA | Director | 3107 Spring Glenn Road, JACKSONVILLE, FL, 32207 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-29 | 3107 Spring Glenn Road, 201, JACKSONVILLE, FL 32207 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-29 | 3107 Spring Glenn Road, 201, JACKSONVILLE, FL 32207 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 3107 Spring Glenn Road, 201, JACKSONVILLE, FL 32207 | No data |
| REINSTATEMENT | 2011-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CANCEL ADM DISS/REV | 2008-03-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CANCEL ADM DISS/REV | 2006-01-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J15000204913 | TERMINATED | 1000000655729 | DUVAL | 2015-01-30 | 2025-02-05 | $ 322.93 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J13001349795 | LAPSED | 1000000522146 | DUVAL | 2013-08-16 | 2023-09-05 | $ 5,532.34 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J13001349787 | LAPSED | 1000000522144 | DUVAL | 2013-08-16 | 2023-09-05 | $ 7,268.28 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J12001014763 | LAPSED | 1000000428866 | DUVAL | 2012-12-07 | 2022-12-14 | $ 1,050.21 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J12001014755 | TERMINATED | 1000000428865 | DUVAL | 2012-12-07 | 2032-12-14 | $ 960.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J10000209244 | ACTIVE | 1000000135484 | DUVAL | 2009-10-07 | 2030-02-16 | $ 3,564.75 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| J10000209285 | TERMINATED | 1000000135488 | DUVAL | 2009-10-07 | 2030-02-16 | $ 935.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-01-17 |
| REINSTATEMENT | 2011-10-06 |
| ANNUAL REPORT | 2010-04-28 |
| ANNUAL REPORT | 2009-05-08 |
| REINSTATEMENT | 2008-03-04 |
| REINSTATEMENT | 2006-01-03 |
| Domestic Profit | 2004-10-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
