| Entity Name: | NEW BEGINNING HOME HEALTH AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Feb 2012 (13 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L12000024171 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 925 EAST ALFRED ST., TAVARES, FL, 32778 |
| Mail Address: | 925 EAST ALFRED ST., TAVARES, FL, 32778 |
| ZIP code: | 32778 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639585961 | 2014-07-08 | 2014-07-08 | 925 E ALFRED ST, TAVARES, FL, 327783401, US | 925 E ALFRED ST, TAVARES, FL, 327783401, US | |||||||||||||||||||||||||
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| Phone | +1 352-508-5915 |
| Fax | 3525085916 |
Authorized person
| Name | COUNTESS WATKINS |
| Role | OWNER |
| Phone | 3525085915 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| License Number | 004611800 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004611800 |
| State | FL |
| Name | Role |
|---|---|
| NEW BEGINNING HOME HEALTH AGENCY, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WATKINS COUNTESS M | Manager | 925 EAST ALFRED ST., TAVARES, FL, 32778 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-05-01 | New Beginning Home Health Agency | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-09-30 | 925 EAST ALFRED ST, TAVARES, FL 32778 | No data |
| REINSTATEMENT | 2013-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2013-06-24 | NEW BEGINNING HOME HEALTH AGENCY, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-23 | 925 EAST ALFRED ST., TAVARES, FL 32778 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-23 | 925 EAST ALFRED ST., TAVARES, FL 32778 | No data |
| LC AMENDMENT AND NAME CHANGE | 2013-04-23 | NEW BEGINNING CARE SERVICES, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-05-01 |
| REINSTATEMENT | 2013-09-30 |
| LC Amendment and Name Change | 2013-06-24 |
| LC Amendment and Name Change | 2013-04-23 |
| Florida Limited Liability | 2012-02-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
