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HOPEWELL NURSE REGISTRY REGION 1, LLC

Company Details

Entity Name: HOPEWELL NURSE REGISTRY REGION 1, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 16 Aug 2012 (12 years ago)
Date of dissolution: 26 Sep 2014 (10 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2014 (10 years ago)
Document Number: L12000105823
FEI/EIN Number 46-0807489
Address: 2121-H KILLARNEY WAY, TALLAHASSEE, FL 32309
Mail Address: 2121-H KILLARNEY WAY, TALLAHASSEE, FL 32309
ZIP code: 32309
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720414998 2013-09-19 2013-09-19 2121 KILLARNEY WAY STE H, TALLAHASSEE, FL, 323093400, US 4476 LEGENDARY DR, SUITE 204, DESTIN, FL, 325415375, US

Contacts

Phone +1 850-386-5552
Fax 8503865505
Phone +1 850-837-1870
Fax 8508371868

Authorized person

Name MR. BLAKE HAYWARD
Role OWNER/PRESIDENT
Phone 8503865552

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
License Number 30211613
State FL
Is Primary Yes

Agent

Name Role Address
HAYWARD, BLAKE Agent 2121-G KILLARNEY WAY, TALLAHASSEE, FL 32309

Manager

Name Role Address
HAYWARD, BLAKE Manager 2121-G KILLARNEY WAY, TALLAHASSEE, FL 32309

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2013-04-18
Florida Limited Liability 2012-08-16

Date of last update: 23 Jan 2025

Sources: Florida Department of State