| Entity Name: | TRI-CITY ADULT DAY CARE INC, |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 May 2018 (7 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 13 Nov 2018 (6 years ago) |
| Document Number: | P18000040801 |
| FEI/EIN Number | 82-5342855 |
| Address: | 2046 CLASSIQUE LANE, tavares, FL, 32778, US |
| Mail Address: | 2046 Classique Lane, Tavares, FL, 32778, US |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336920610 | 2023-10-11 | 2024-06-13 | 2046 CLASSIQUE LN, TAVARES, FL, 327785787, US | 2046 CLASSIQUE LN, TAVARES, FL, 327785787, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-609-5147 |
| Fax | 3523883145 |
Authorized person
| Name | DILLIA DONNA SQUIRES |
| Role | ADMINISTRATOR |
| Phone | 3526095147 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Squires Dillia D | Agent | 2046 Classique Lane, Tavares, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| Squires Dillia D | Chief Executive Officer | 2046 Classique Lane, Tavares, FL, 32778 |
| Name | Role | Address |
|---|---|---|
| Squires Matthew A | Chief Information Officer | 2046 Classique Lane, Tavares, FL, 32778 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000148918 | TRI-CITY NURSE REGISTRY | ACTIVE | 2023-12-08 | 2028-12-31 | No data | 2046 CLASSIQUE LANE., TAVARES, FL, 32778 |
| G23000126412 | TRI-CITY STAFFING, INC. | ACTIVE | 2023-10-11 | 2028-12-31 | No data | 2046 CLASSIQUE LANE, TAVARES, FL, 32778 |
| G20000138867 | TRI-CITY HOME CARE, INC. | ACTIVE | 2020-10-27 | 2025-12-31 | No data | 2046 CLASSIQUE LANE, TAVARES, FL, 23778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-18 | 2046 CLASSIQUE LANE, tavares, FL 32778 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-04-18 | Squires, Dillia Donna | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-18 | 2046 Classique Lane, Tavares, FL 32778 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-08 | 2046 CLASSIQUE LANE, tavares, FL 32778 | No data |
| NAME CHANGE AMENDMENT | 2018-11-13 | TRI-CITY ADULT DAYCARE INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-18 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-02 |
| Name Change | 2018-11-13 |
| Domestic Profit | 2018-05-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
