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JAX HOME HEALTH, INC.

Company Details

Entity Name: JAX HOME HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 25 Jan 2005 (20 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 17 Mar 2015 (10 years ago)
Document Number: P05000012950
FEI/EIN Number 38-3715624
Mail Address: 7929 MCLAURIN RD. N., JACKSONVILLE, FL 32256
Address: 9191 R.G. SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL 32256
ZIP code: 32256
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174072722 2016-09-23 2016-09-23 9191 R G SKINNER PKWY, SUITE 803, JACKSONVILLE, FL, 322569655, US 9191 R G SKINNER PKWY, SUITE 803, JACKSONVILLE, FL, 322569655, US

Contacts

Phone +1 904-363-6699
Fax 9043636698

Authorized person

Name MR. DAVID A HILL
Role OWNER/CEO
Phone 9043636699

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 299992175
State FL
Is Primary Yes
Taxonomy Code 251E00000X - Home Health Agency
License Number 299992686
State FL
Is Primary No

Agent

Name Role Address
HILL, DAVID A Agent 9191 R.G SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL 32256

Co

Name Role Address
HILL, DAVID A Co 9191 R.G SKINNER PKWY SUITE 803, JACKSONVILLE, FL 32256
Hill, Malorie S. Co 9191 R.G. SKINNER PARKWAY, SUITE 803 JACKSONVILLE, FL 32256

Owner

Name Role Address
HILL, DAVID A Owner 9191 R.G SKINNER PKWY SUITE 803, JACKSONVILLE, FL 32256
Hill, Malorie S. Owner 9191 R.G. SKINNER PARKWAY, SUITE 803 JACKSONVILLE, FL 32256

President

Name Role Address
HILL, DAVID A President 9191 R.G SKINNER PKWY SUITE 803, JACKSONVILLE, FL 32256

Chief Executive Officer

Name Role Address
HILL, DAVID A Chief Executive Officer 9191 R.G SKINNER PKWY SUITE 803, JACKSONVILLE, FL 32256

Treasurer

Name Role Address
Hill, Malorie S. Treasurer 9191 R.G. SKINNER PARKWAY, SUITE 803 JACKSONVILLE, FL 32256

Secretary

Name Role Address
Hill, Malorie S. Secretary 9191 R.G. SKINNER PARKWAY, SUITE 803 JACKSONVILLE, FL 32256

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000118647 HOME INSTEAD ACTIVE 2021-09-15 2026-12-31 No data 9191 R. G. SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL, 32256
G11000008074 HOME INSTEAD SENIOR CARE EXPIRED 2011-01-19 2016-12-31 No data 9191 R.G. SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-11-20 9191 R.G. SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL 32256 No data
REGISTERED AGENT NAME CHANGED 2021-02-04 HILL, DAVID A No data
MERGER 2015-03-17 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000149859
REGISTERED AGENT ADDRESS CHANGED 2009-03-06 9191 R.G SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL 32256 No data
CHANGE OF PRINCIPAL ADDRESS 2007-08-23 9191 R.G. SKINNER PARKWAY, SUITE 803, JACKSONVILLE, FL 32256 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-11-20
AMENDED ANNUAL REPORT 2024-05-22
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-02-18
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-03-06
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-03-22
ANNUAL REPORT 2017-03-10

Date of last update: 04 Jan 2025

Sources: Florida Department of State