| Entity Name: | QUALITY OF LIFE HOME HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Feb 2001 (24 years ago) |
| Document Number: | L01000002896 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| Mail Address: | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| ZIP code: | 33777 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396862397 | 2007-03-23 | 2020-08-22 | 5435 CHARLES STREET, PORT RICHEY, FL, 34668, US | 7235 BRYAN DAIRY RD, LARGO, FL, 33777, US | |||||||||||||||||||||||
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| Phone | +1 727-546-9692 |
| Fax | 7275470942 |
Authorized person
| Name | MR. JAMES E. HEENAN |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 7275469692 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | CLIA PROVIDER NUMBER |
| Number | E9181A |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HEENAN JAMES E | Agent | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| MOSES MICHAEL J | President | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| MOSES MICHAEL J | Director | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| HEENAN JAMES | Director | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| BOSWORTH LOIS | Director | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| HEENAN JAMES | Treasurer | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| BOSWORTH LOIS | Secretary | 7235 BRYAN DAIRY RD, LARGO, FL, 33777 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-26 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
