| Entity Name: | NIRVANA HOME HEALTH CARE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2010 (15 years ago) |
| Document Number: | L10000054404 |
| FEI/EIN Number | 27-2612384 |
| Address: | 5959 Collins Ave, Apt 1006, Miami Beach, FL, 33140, US |
| Mail Address: | 1509 Island Way, Weston, FL, 33326, US |
| ZIP code: | 33140 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114248226 | 2010-06-14 | 2017-02-14 | 141 SAGE BRUSH TRAIL, SUITE E, ORMOND BEACH, FL, 321748194, US | 141 SAGE BRUSH TRAIL, SUITE E, ORMOND BEACH, FL, 321748194, US | |||||||||||||||||||||||||
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| Phone | +1 386-677-7006 |
| Fax | 3866777096 |
Authorized person
| Name | MS. TERESA A. RAGLAND |
| Role | PRESIDENT |
| Phone | 3863628552 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993753 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | 299993753 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Portnoy Fred | Agent | 1509 ISLAND WAY, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| Portnoy Fred Manager | Manager | 1509 ISLAND WAY, WESTON, FL, 33326 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000019592 | CORNERSTONE HOME CARE | ACTIVE | 2016-02-23 | 2026-12-31 | No data | 141 SAGE BRUSH TRAIL SUITE E, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-08-08 | 5959 Collins Ave, Apt 1006, Miami Beach, FL 33140 | No data |
| CHANGE OF MAILING ADDRESS | 2023-08-08 | 5959 Collins Ave, Apt 1006, Miami Beach, FL 33140 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-08-08 | Portnoy, Fred | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-08 | 1509 ISLAND WAY, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-08-08 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-02-23 |
| AMENDED ANNUAL REPORT | 2015-06-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
