| Entity Name: | LIFELINE HEALTH CARE OF NORTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Dec 1998 (26 years ago) |
| Document Number: | P98000100824 |
| FEI/EIN Number | 593551233 |
| Mail Address: | 600 CLIFTY STREET, SOMERSET, FL, 42503, KY |
| Address: | 1501 U.S. HWY. 441, 1108, THE VILLAGES, FL, 32159 |
| ZIP code: | 32159 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619079019 | 2006-09-05 | 2020-08-22 | 600 CLIFTY ST, SOMERSET, KY, 425031733, US | 1501 US HWY 441 NORTH, SUITE 1108, THE VILLAGES, FL, 32159, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 606-679-4100 |
| Fax | 6066787306 |
| Phone | +1 352-753-4631 |
| Fax | 3527537580 |
Authorized person
| Name | MR. JAMES T. WILSON |
| Role | CEO |
| Phone | 6066794100 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CFRA, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WILSON JAMES T | CC | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Name | Role | Address |
|---|---|---|
| RUDDEN SHARON | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| WEDDLE RICHARD D | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| FRAZER JAMES M | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| SINCLAIR KEITH | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| HURST LAWRENCE T | Director | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Name | Role | Address |
|---|---|---|
| FRAZER JAMES M | President | 600 CLIFTY STREET, SOMERSET, KY, 42503 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2007-09-04 | No data | No data |
| CANCEL ADM DISS/REV | 2005-02-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
