| Entity Name: | TRINITY HOME HEALTH CARE PROVIDERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Aug 2007 (17 years ago) |
| Date of dissolution: | 15 Sep 2009 (15 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Sep 2009 (15 years ago) |
| Document Number: | L07000081218 |
| FEI/EIN Number | 75-3249049 |
| Address: | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 |
| Mail Address: | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316103807 | 2008-08-04 | 2008-08-04 | 902 W LUMSDEN RD, SUITE 104, BRANDON, FL, 335118806, US | 902 W LUMSDEN RD, SUITE 104, BRANDON, FL, 335118806, US | |||||||||||||||||||||||||
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| Phone | +1 813-689-4884 |
| Fax | 8136894889 |
Authorized person
| Name | MS. LINDA C SMITH |
| Role | MANAGING PARTNER |
| Phone | 8136894884 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 230260 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID WAIVER PROVIDER NUMBER |
| Number | 693413700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH, LINDA C | Agent | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 |
| Name | Role | Address |
|---|---|---|
| THOMPSON, RAYMOND RIV | Managing Member | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 |
| SMITH, LINDA C | Managing Member | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 |
| THOMPSON, PATRICE | Managing Member | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2009-09-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-01-09 | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2008-01-09 | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-01-09 | SMITH, LINDA C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-01-09 | 902 W LUMSDEN RD STE 104, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2009-09-15 |
| ANNUAL REPORT | 2009-04-20 |
| ANNUAL REPORT | 2008-01-09 |
| Florida Limited Liability | 2007-08-07 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
