| Entity Name: | BIRTH BLOSSOMS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BIRTH BLOSSOMS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 26 Feb 2007 (18 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 02 Jan 2018 (7 years ago) |
| Document Number: | L07000021367 |
| FEI/EIN Number |
208511359
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 556 SE Port St Lucie Blvd, Port St Lucie, FL, 34984, US |
| Mail Address: | 337 SW Cherryhill Rd, Port St Lucie, FL, 34953, US |
| ZIP code: | 34984 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922438431 | 2013-11-19 | 2013-11-19 | 1903 SUNRISE BLVD, FORT PIERCE, FL, 349508101, US | 1903 SUNRISE BLVD, FORT PIERCE, FL, 349508101, US | |||||||||||||||||||||||||
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| Phone | +1 772-475-8560 |
| Fax | 7728015293 |
Authorized person
| Name | MS. MARY LOUISE RAINER |
| Role | DIRECTOR |
| Phone | 7724758560 |
Taxonomy
| Taxonomy Code | 176B00000X - Midwife |
| License Number | MW264 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0006593100 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BIRTH BLOSSOMS 401(K) PLAN | 2023 | 208511359 | 2024-05-13 | BIRTH BLOSSOMS, LLC | 3 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-13 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| Sides Hailey C | Auth | 337 SE Cherry Hill rd, Port st lucie, FL, 34953 |
| SIDES HAILEY | Agent | 337 SW Cherryhill Rd, Port St Lucie, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-07 | 556 SE Port St Lucie Blvd, Port St Lucie, FL 34984 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-07 | 337 SW Cherryhill Rd, Port St Lucie, FL 34953 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-04 | 556 SE Port St Lucie Blvd, Port St Lucie, FL 34984 | - |
| LC DISSOCIATION MEM | 2018-01-02 | - | - |
| LC STMNT OF RA/RO CHG | 2018-01-02 | - | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-02 | SIDES, HAILEY | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-01-28 |
| AMENDED ANNUAL REPORT | 2021-08-30 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-22 |
| CORLCDSMEM | 2018-01-02 |
| CORLCRACHG | 2018-01-02 |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
