| Entity Name: | ACLARIS HOME HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jun 2007 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 07 Mar 2018 (7 years ago) |
| Document Number: | L07000060048 |
| FEI/EIN Number | 90-0338511 |
| Address: | 7827 N DALE MABRY HWY, STE 103, TAMPA, FL 33614 |
| Mail Address: | 7827 N DALE MABRY HWY, STE 103, TAMPA, FL 33614 |
| ZIP code: | 33614 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588841571 | 2008-01-22 | 2016-11-10 | 3430 W. LAMBRIGHT ST. SUITE 103, TAMPA, FL, 33614, US | 3430 W. LAMBRIGHT ST. SUITE 103, TAMPA, FL, 33614, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-935-4790 |
| Fax | 8132179671 |
Authorized person
| Name | CLARISVEL A ALBIZU |
| Role | ADMINISTRATOR |
| Phone | 8139354790 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993524 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 682105796 |
| State | FL |
| Issuer | MEDICAID |
| Number | 142755500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 682105798 |
| State | FL |
| Issuer | MEDICAID |
| Number | 682105795 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALBIZU, CLARISVEL A. | Agent | 7827 N DALE MABRY HWY, STE 103, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| ALBIZU, CLARISVEL A. | President | 3302 W Sitka St, TAMPA, FL 33614 |
| Name | Role | Address |
|---|---|---|
| LUIS ACOSTA, RAFAEL | Owner | 8213 WESTRIDGE DRIVE, TAMPA, FL 33615 |
| Name | Role | Address |
|---|---|---|
| ALBIZO, MIGUEL | Vice President | 6913 N ROME AVENUE, TAMPA, FL 33604 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-24 | 7827 N DALE MABRY HWY, STE 103, TAMPA, FL 33614 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-02-24 | ALBIZU, CLARISVEL A. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-11-19 | 7827 N DALE MABRY HWY, STE 103, TAMPA, FL 33614 | No data |
| CHANGE OF MAILING ADDRESS | 2019-11-19 | 7827 N DALE MABRY HWY, STE 103, TAMPA, FL 33614 | No data |
| LC AMENDMENT | 2018-03-07 | No data | No data |
| LC AMENDMENT | 2017-12-18 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2015-05-28 | ACLARIS HOME HEALTH LLC | No data |
| CANCEL ADM DISS/REV | 2009-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-02-08 |
| ANNUAL REPORT | 2022-02-24 |
| ANNUAL REPORT | 2021-02-03 |
| AMENDED ANNUAL REPORT | 2020-11-13 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-03-11 |
| LC Amendment | 2018-03-07 |
| ANNUAL REPORT | 2018-01-17 |
| LC Amendment | 2017-12-18 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
