Entity Name: | FRIENDLY FACES HOME AND COMPANION CARE, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Inactive |
Date Filed: | 19 Oct 2020 (4 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: | P20000083556 |
FEI/EIN Number | 85-3661712 |
Address: | 225 OLD VILLAGE CENTER CIRCLE, UNIT #4102, SAINT AUGUSTINE, FL 32084 |
Mail Address: | 225 OLD VILLAGE CENTER CIRCLE, UNIT #4102, SAINT AUGUSTINE, FL 32084 |
ZIP code: | 32084 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427787050 | 2022-06-08 | 2022-06-08 | 225 OLD VILLAGE CENTER CIR UNIT 4102, ST AUGUSTINE, FL, 320845806, US | 225 OLD VILLAGE CENTER CIR UNIT 4102, ST AUGUSTINE, FL, 320845806, US | |||||||||||||||||||
|
Phone | +1 904-755-9424 |
Authorized person
Name | MS. LAKISHA S RIVERS |
Role | OWNER/CEO |
Phone | 9047559424 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 113031200 |
State | FL |
Name | Role | Address |
---|---|---|
RIVERS, LAKISHA S | Agent | 225 OLD VILLAGE CENTER CIRCLE, UNIT #4102, SAINT AUGUSTIINE, FL 32084 |
Name | Role | Address |
---|---|---|
RIVERS, LAKISHA S | Chief Executive Officer | 225 OLD VILLAGE CENTER CIRCLE UNIT #4102, SAINT AUGUSTINE, FL 32084 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
CHANGE OF MAILING ADDRESS | 2022-04-30 | 225 OLD VILLAGE CENTER CIRCLE, UNIT #4102, SAINT AUGUSTINE, FL 32084 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2022-04-30 |
ANNUAL REPORT | 2021-04-30 |
Domestic Profit | 2020-10-19 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State