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Provision Home Care Services, LLC

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Company Details

Name: Provision Home Care Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 03 Feb 2015 (10 years ago)
Business ID: 1060282
ZIP code: 39482
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 21 Hemingway DriveSumrall, MS 39482

Agent

Name Role Address
Daniel L. Nelson Agent 21 Hemingway Drive, Sumrall, MS 39482

Manager

Name Role Address
Daniel L. Nelson Manager 21 Hemingway Drive, Sumrall, MS 39482

National Provider Identifier

NPI Number:
1760873558

Authorized Person:

Name:
MR. DANIEL NELSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2020-11-27 Action of Provision Home Care Services, LLC: AR
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Reinstatement Filed 2019-11-20 Reinstatement For Provision Home Care Services, LLC
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Registered Agent Change of Address Filed 2017-02-27 Agent Address Change For Daniel L. Nelson
Annual Report LLC Filed 2016-02-02 Annual Report For Provision Home Care Services, LLC
Formation Form Filed 2015-02-03 Formation For Provision Home Care Services, LLC

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Date of last update: 15 May 2025

Sources: Company Profile on Mississippi Secretary of State Website