| Entity Name: | CITIZENS SCHOOL OF NURSING INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 21 Nov 2022 (2 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P22000087784 |
| FEI/EIN Number | 92-1169634 |
| Address: | 267 NW 57TH ST, MIAMI, FL 33127 M |
| Mail Address: | 267 NW 57TH ST, MIAMI, FL 33127 M |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346953171 | 2022-12-26 | 2023-01-01 | 4220 BEACON CREST WAY, RALEIGH, NC, 276048318, US | 601 BRICKELL KEY DR, MIAMI, FL, 331312662, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 919-633-9397 |
| Phone | +1 786-620-3489 |
Authorized person
| Name | MR. DANIEL ARCHIBONG JACK |
| Role | CEO |
| Phone | 9196339397 |
Taxonomy
| Taxonomy Code | 163WC1400X - College Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WC1600X - Continuing Education/Staff Development Registered Nurse |
| Is Primary | Yes |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
Other Provider Identifiers
| Issuer | FLORIDA SECRETARY OF STATE |
| Number | P22000087784 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| IVETH, HODSON, MRS | Agent | 267 NW 57TH ST, MIAMI, FL 33127 |
| Name | Role | Address |
|---|---|---|
| JACK, DANIEL A | PRESIDENT | 267 NW 57TH ST, MIAMI, FL 33127 |
| Name | Role | Address |
|---|---|---|
| DEBORAH, JACK D, MS | Manager | 4220 BEACON CREST WAY, RALEIGH, NC 27604 M |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000156725 | CITIZENS SENIOR CARE | ACTIVE | 2022-12-19 | 2027-12-31 | No data | 267 NW 57TH ST, MIAMI, FL, 33127 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-21 |
| Domestic Profit | 2022-11-21 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
