| Entity Name: | INTERIM HEALTHCARE OF JACKSONVILLE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Apr 1993 (32 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 22 Mar 2024 (10 months ago) |
| Document Number: | P93000031167 |
| FEI/EIN Number | 59-3182296 |
| Address: | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 |
| Mail Address: | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780667220 | 2005-11-29 | 2012-09-19 | 7999 PHILIPS HWY, SUITE 304, JACKSONVILLE, FL, 322564443, US | 2233 PARK AVE, SUITE 304, ORANGE PARK, FL, 320735570, US | |||||||||||||||||||||||
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| Phone | +1 904-448-1133 |
| Fax | 9044489130 |
| Phone | +1 904-527-2030 |
| Fax | 9046210968 |
Authorized person
| Name | MR. GLENN ROBIN REEVES |
| Role | PRESIDENT |
| Phone | 9044481133 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA205710961 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INTERIM HEALTHCARE OF JACKSONVILLE 401(K) PLAN | 2011 | 593182296 | 2012-10-26 | INTERIM HEALTHCARE OF JACKSONVILLE | 62 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 593182296 |
| Plan administrator’s name | INTERIM HEALTHCARE OF JACKSONVILLE |
| Plan administrator’s address | 7999 PHILLIPS HIGHWAY, SUITE 304, JACKSONVILLE, FL, 32256 |
| Administrator’s telephone number | 9044481133 |
Signature of
| Role | Plan administrator |
| Date | 2012-10-26 |
| Name of individual signing | GLENN R. REEVES |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2011-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 9044481133 |
| Plan sponsor’s address | 7999 PHILLIPS HIGHWAY, SUITE 304, JACKSONVILLE, FL, 32256 |
Plan administrator’s name and address
| Administrator’s EIN | 593182296 |
| Plan administrator’s name | INTERIM HEALTHCARE OF JACKSONVILLE |
| Plan administrator’s address | 7999 PHILLIPS HIGHWAY, SUITE 304, JACKSONVILLE, FL, 32256 |
| Administrator’s telephone number | 9044481133 |
Signature of
| Role | Plan administrator |
| Date | 2012-08-21 |
| Name of individual signing | GLENN R. REEVES |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Lucas, Preston | Treasurer | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 |
| Name | Role | Address |
|---|---|---|
| Alessandro, Steven | Director | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 |
| Name | Role | Address |
|---|---|---|
| Wesner, James | President | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 |
| Name | Role | Address |
|---|---|---|
| Byl, Jeanne | Vice President | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000077530 | INTERIM HEALTHCARE OF ORANGE PARK | EXPIRED | 2010-08-23 | 2015-12-31 | No data | 2233 PARK AVENUE, SUITE 304, ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 6950 Philips Highway Suite 3, Jacksonville, FL 32216 | No data |
| AMENDMENT | 2024-03-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-03-11 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-11 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| MERGER | 2002-03-04 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 300000040843 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| Amendment | 2024-03-22 |
| Reg. Agent Change | 2024-03-11 |
| ANNUAL REPORT | 2023-03-28 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
