| Entity Name: | SENIOR CARE SOURCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 17 Aug 2015 (10 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P15000069051 |
| FEI/EIN Number | 47-4479784 |
| Address: | 14802 N. DALE MABRY HIGHWAY, SUITE #312, TAMPA, FL 33618 |
| Mail Address: | 14802 N. DALE MABRY HIGHWAY, SUITE #312, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811435126 | 2017-02-07 | 2017-02-07 | 410 S. BEACH ST., SUITE 310, DAYTONA BEACH, FL, 32114, US | 410 S. BEACH ST., SUITE 310, DAYTONA BEACH, FL, 32114, US | |||||||||||||||||||||||||||
|
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| Phone | +1 386-334-1476 |
| Fax | 3869516449 |
Authorized person
| Name | DANIELLE L. JACKSON |
| Role | CEO |
| Phone | 3863341476 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | 234295 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 234295 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Jackson, Danielle L | Agent | 140 S. Beach Street, 310, Daytona Beach, FL 32114 |
| Name | Role | Address |
|---|---|---|
| jackson, danielle L | Chief Executive Officer | 20450 COLONIAL HILL DR, 107 Tampa, FL 33647 |
| Name | Role | Address |
|---|---|---|
| jackson, danielle L | President | 20450 COLONIAL HILL DR, 107 Tampa, FL 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000061485 | CARE SOURCE STAFFING | EXPIRED | 2018-05-22 | 2023-12-31 | No data | 1183 HIGHWOODS PRESERVE PARKWAY #2210, TAMPA, FL, 33647 |
| G18000061488 | CARE1 TRANSPORT | EXPIRED | 2018-05-22 | 2023-12-31 | No data | 1183 HIGHWOODS PRESERVE PARKWAY #2210, TAMPA, FL, 33647 |
| G17000008519 | NATIONAL CNA TRAINING | EXPIRED | 2017-01-23 | 2022-12-31 | No data | 410 S. BEACH STREET SUITE # 310, DAYTONA BEACH, FL, 32124 |
| G16000023617 | CARE SOURCE STAFFING | EXPIRED | 2016-03-04 | 2021-12-31 | No data | 213 BIRKDALE DRIVE, DAYTONA BEACH, FL, 32124 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-02-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-07-11 | 14802 N. DALE MABRY HIGHWAY, SUITE #312, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-11 | 14802 N. DALE MABRY HIGHWAY, SUITE #312, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-04 | 140 S. Beach Street, 310, Daytona Beach, FL 32114 | No data |
| REINSTATEMENT | 2017-01-19 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-19 | Jackson, Danielle L | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2021-02-11 |
| ANNUAL REPORT | 2018-04-04 |
| REINSTATEMENT | 2017-01-19 |
| Domestic Profit | 2015-08-17 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
