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BAYSHORE HEALTH & HOMEMAKER SERVICES, INC.

Company Details

Entity Name: BAYSHORE HEALTH & HOMEMAKER SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Mar 1987 (38 years ago)
Document Number: J64706
FEI/EIN Number 592833315
Address: 2430 WEST BAY DRIVE, LARGO, FL, 33770, US
Mail Address: P.O. BOX 1462, LARGO, FL, 33779, US
ZIP code: 33770
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073650396 2007-01-30 2020-07-28 PO BOX 1462, LARGO, FL, 337791462, US 2430 W BAY DR, LARGO, FL, 337701933, US

Contacts

Phone +1 727-586-0044
Fax 7275860171

Authorized person

Name SUZANNE JOHNSON
Role ADMINISTRATOR/OWNER
Phone 7275860044

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number HHA20174095
State FL
Is Primary No
Taxonomy Code 251E00000X - Home Health Agency
License Number HHA299991613
State FL
Is Primary Yes
Taxonomy Code 251E00000X - Home Health Agency
License Number HHA299991207
State FL
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BAYSHORE HEALTH & HOMEMAKER SERVICES, INC. 401K PLAN 2023 592833315 2024-10-15 BAYSHORE HEALTH & HOMEMAKER SERVICES, INC. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-04-01
Business code 621610
Sponsor’s telephone number 7275860044
Plan sponsor’s address 2430 WEST BAY DRIVE, LARGO, FL, 337701933

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing TODD ATKINSON
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ATKINSON TODD Agent 2430 WEST BAY DRIVE, LARGO, FL, 33770

President

Name Role Address
ATKINSON TODD R President 4717 W Lawn Ave, TAMPA, FL, 33611

Director

Name Role Address
ATKINSON TODD R Director 4717 W Lawn Ave, TAMPA, FL, 33611
ATKINSON DIANNE H Director 10929 Ridge Rd, Largo, FL, 33778
JOHNSON SUZANNE A Director 1324 GOLF VIEW DRIVE, BELLEAIR, FL, 33756

Vice President

Name Role Address
ATKINSON DIANNE H Vice President 10929 Ridge Rd, Largo, FL, 33778
JOHNSON SUZANNE A Vice President 1324 GOLF VIEW DRIVE, BELLEAIR, FL, 33756

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000027059 BAYSHORE HOME CARE ACTIVE 2012-03-19 2027-12-31 No data 2430 WEST BAY DRIVE, LARGO, FL, 33770

Events

Event Type Filed Date Value Description
RESTATED ARTICLES 2007-11-26 No data No data

Date of last update: 02 Jan 2025

Sources: Florida Department of State