Entity Name: | LOVING CARE SITTERS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 25 Jul 1997 (28 years ago) |
Date of dissolution: | 28 Sep 2012 (12 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 28 Sep 2012 (12 years ago) |
Document Number: | P97000065043 |
FEI/EIN Number | 593463703 |
Address: | 3550 EBENEZER CHURCH ROAD, JAY, FL, 32565 |
Mail Address: | 3550 EBENEZER CHURCH ROAD, JAY, FL, 32565 |
ZIP code: | 32565 |
County: | Santa Rosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831492685 | 2010-12-17 | 2010-12-17 | 3550 EBENEZER CHURCH RD, JAY, FL, 325652049, US | 3550 EBENEZER CHURCH RD, JAY, FL, 325652049, US | |||||||||||||||||||||||
|
Phone | +1 850-686-6322 |
Authorized person
Name | MRS. MARY JOHNSON SHELL |
Role | PRESIDENT |
Phone | 8506866322 |
Taxonomy
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
License Number | HCS227324 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 675619100 |
State | FL |
Name | Role | Address |
---|---|---|
SHELL MARY J | Agent | 3550 EBENEZER CHURCH ROAD, JAY, FL, 32565 |
Name | Role | Address |
---|---|---|
SHELL MARY J | President | 3550 EBENEZER CHURCH ROAD, JAY, FL, 32565 |
Name | Role | Address |
---|---|---|
SHELL LEROY | Vice President | 3550 EBENEZER CHURCH RD, JAY, FL, 32565 |
Name | Role | Address |
---|---|---|
JOHNSON FRANCIS L | Secretary | 4762 ANNA SIMPSON RD, MILTON, FL, 32583 |
Name | Role | Address |
---|---|---|
JOHNSON NORMA | Treasurer | 4762 ANNA SIMPSON RD, MILTON, FL, 32583 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-04-21 | 3550 EBENEZER CHURCH ROAD, JAY, FL 32565 | No data |
CHANGE OF MAILING ADDRESS | 2008-04-21 | 3550 EBENEZER CHURCH ROAD, JAY, FL 32565 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2011-04-13 |
ANNUAL REPORT | 2010-04-27 |
ANNUAL REPORT | 2009-06-23 |
ANNUAL REPORT | 2008-04-21 |
ANNUAL REPORT | 2007-04-26 |
ANNUAL REPORT | 2006-08-31 |
ANNUAL REPORT | 2005-04-26 |
ANNUAL REPORT | 2004-02-16 |
ANNUAL REPORT | 2003-03-24 |
ANNUAL REPORT | 2002-03-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State