| Entity Name: | A & S HOME CARING INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 02 Jul 2019 (6 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P19000055200 |
| FEI/EIN Number | 84-2403656 |
| Address: | 11496 JOHNSON CREEK CIRCLE, JACKSONVILLE, FL 32218 |
| Mail Address: | 11496 JOHNSON CREEK CIRCLE, JACKSONVILLE, FL 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538730650 | 2021-07-09 | 2022-03-16 | 11496 JOHNSON CREEK CIR, JACKSONVILLE, FL, 322189319, US | 11496 JOHNSON CREEK CIR, JACKSONVILLE, FL, 322189319, US | |||||||||||||||||||||||||
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| Phone | +1 904-930-0056 |
Authorized person
| Name | SIMONE SMITH |
| Role | OWNER |
| Phone | 9049300056 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108134000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 111844600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH, SIMONE A | Agent | 11496 JOHNSON CREEK CIRCLE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| Smith, Simone Apreshae | Owner | 11496 JOHNSON CREEK CIRCLE, JACKSONVILLE, FL 32218 |
| Name | Role | Address |
|---|---|---|
| Catoe, Amoire Siaani | Director | 11496 JOHNSON CREEK CIRCLE, JACKSONVILLE, FL 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-06-19 |
| Domestic Profit | 2019-07-02 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
