| Entity Name: | GOLDEN ARC HOMECARE SOLUTION INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Apr 2017 (8 years ago) |
| Document Number: | P17000031240 |
| FEI/EIN Number | 82-1005870 |
| Address: | 196 EAST NINE MILE RD,, SUITE D, PENSACOLA, FL, 32534, US |
| Mail Address: | po box 845, gonzalez, FL, 32560, US |
| ZIP code: | 32534 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366959611 | 2018-01-09 | 2021-10-04 | PO BOX 845, GONZALEZ, FL, 325600845, US | 196 E NINE MILE RD STE D, PENSACOLA, FL, 325343119, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-525-0696 |
| Fax | 8505250696 |
Authorized person
| Name | MRS. TIFFANY DANILLIE ROGERS |
| Role | CEO |
| Phone | 8505250696 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299994727 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024258500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Harris Tiffany | Agent | 196 east nine mile rd, pensacola, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| Troutman Gwendolyn | Vice President | 196 east nine mile rd, pensacola, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| TIMS LILLIE M | Chief Operating Officer | 196 E Nine Mile rd, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| Harris Tiffany DCEO | Chief Executive Officer | 196 East Nine Mile Rd, Pensacola, FL, 32534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-08 | Harris, Tiffany | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-08 | 196 east nine mile rd, ste.D, pensacola, FL 32534 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-06-06 | 196 EAST NINE MILE RD,, SUITE D, PENSACOLA, FL 32534 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-12 | 196 EAST NINE MILE RD,, SUITE D, PENSACOLA, FL 32534 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-20 |
| AMENDED ANNUAL REPORT | 2019-07-23 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-01-12 |
| Domestic Profit | 2017-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
