| Entity Name: | NORTHEAST FLORIDA RESIDENTIAL CARE FACILITY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Oct 2023 (a year ago) |
| Document Number: | P23000075245 |
| FEI/EIN Number | 99-1599191 |
| Address: | 4232 Arbor Mill Circle, ORANGE PARK, FL 32065 |
| Mail Address: | 4232 Arbor Mill Circle, Oran, FL 32065 |
| ZIP code: | 32065 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982460747 | 2024-02-27 | 2024-02-27 | 4232 ARBOR MILL CIR, ORANGE PARK, FL, 320653204, US | 4232 ARBOR MILL CIR, ORANGE PARK, FL, 320653204, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-532-5186 |
Authorized person
| Name | LEAUNDRIA DENISE SHAHEED |
| Role | OWNER |
| Phone | 9045325186 |
Taxonomy
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 177F00000X - Lodging Provider |
| Is Primary | No |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Shaheed, LeAundria | Agent | 4232 Arbor Mill Circle, Oran, FL 32065 |
| Name | Role | Address |
|---|---|---|
| SHAHEED, LEAUNDRIA | President | 4232 Arbor Mill Circle, ORANGE PARK, FL 32065 |
| Name | Role | Address |
|---|---|---|
| CURTIS, LINDA L | Vice President | 2905 Fruitwood Lane, Jacksonville, FL 32277 |
| Taylor, Jeffrey | Vice President | 4119 Sherman Hills PKWY W, Jacksonville, FL 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-01 | 4232 Arbor Mill Circle, ORANGE PARK, FL 32065 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-01 | 4232 Arbor Mill Circle, ORANGE PARK, FL 32065 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-08-01 | Shaheed, LeAundria | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-08-01 | 4232 Arbor Mill Circle, Oran, FL 32065 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-08-01 |
| Domestic Profit | 2023-10-23 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
