| Entity Name: | HEIDI LUTZ LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Dec 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L10000127188 |
| FEI/EIN Number | 45-4665561 |
| Address: | 33133 RANCH RD., RIDGE MANOR, FL 33523 |
| Mail Address: | 33133 RANCH RD., RIDGE MANOR, FL 33523 |
| ZIP code: | 33523 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952749244 | 2013-06-07 | 2013-06-07 | 33133 RANCH RD, RIDGE MANOR, FL, 335239164, US | 33133 RANCH RD, RIDGE MANOR, FL, 335239164, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 727-278-6205 |
Authorized person
| Name | HEIDI LUTZ |
| Role | OWNER |
| Phone | 7272786205 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001104200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUTZ, HEIDI M | Agent | 33133 RANCH RD., RIDGE MANOR, FL 33523 |
| Name | Role | Address |
|---|---|---|
| LUTZ, MICHAEL | Owner | 33133 RANCH RD., RIDGE MANOR, FL 33523 |
| Name | Role | Address |
|---|---|---|
| LUTZ, HEIDI | Authorized Member | 33133 RANCH RD., RIDGE MANOR, FL 33523 |
| Name | Role | Address |
|---|---|---|
| LUTZ, HEIDI | Manager | 33133 RANCH RD., RIDGE MANOR, FL 33523 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC AMENDMENT | 2018-10-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-28 | LUTZ, HEIDI M | No data |
| REINSTATEMENT | 2016-03-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-28 | 33133 RANCH RD., RIDGE MANOR, FL 33523 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-28 | 33133 RANCH RD., RIDGE MANOR, FL 33523 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-28 | 33133 RANCH RD., RIDGE MANOR, FL 33523 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2018-10-22 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-04-29 |
| REINSTATEMENT | 2016-03-28 |
| ANNUAL REPORT | 2014-04-17 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-04-28 |
| ANNUAL REPORT | 2011-04-15 |
| FEI# | 2010-12-15 |
| Florida Limited Liability | 2010-12-13 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
