| Entity Name: | TENDER LOVING CARE PROVIDERS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jan 2006 (19 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P06000003132 |
| FEI/EIN Number | 204152014 |
| Address: | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL, 34986, US |
| Mail Address: | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL, 34986, US |
| ZIP code: | 34986 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1720265424 | 2008-01-24 | 2008-06-19 | 6494 N. W. GROVELAND TERRACE, PORT ST. LUCIE, FL, 349863825, US | 6494 N. W. GROVELAND TERRACE, PORT ST. LUCIE, FL, 349863825, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 561-644-4283 |
Authorized person
| Name | MRS. BRIDGETTE ANNETTA HARRIS |
| Role | LICENSED PRACTICAL NURSE |
| Phone | 5616444283 |
Taxonomy
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | PN1068941 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| License Number | PN1068941 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| License Number | PN1068941 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | PN1068941 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | PN1068941 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| License Number | PN1068941 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 347C00000X - Private Vehicle |
| License Number | PN1068941 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 692853696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRIS BRIDGETTE A | Agent | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL, 34986 |
| Name | Role | Address |
|---|---|---|
| HARRIS BRIDGETTE A | President | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL, 34986 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| PENDING REINSTATEMENT | 2011-02-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CANCEL ADM DISS/REV | 2007-02-07 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-02-07 | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL 34986 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-02-07 | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL 34986 | No data |
| CHANGE OF MAILING ADDRESS | 2007-02-07 | 6494 NW GROVELAND TERRACE, PORT ST. LUCIE, FL 34986 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-07-25 |
| REINSTATEMENT | 2007-02-07 |
| Domestic Profit | 2006-01-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
