| Entity Name: | ATARAXIA HEALTH & LIFE ALTERNATIVES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Mar 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Oct 2016 (8 years ago) |
| Document Number: | L15000039072 |
| FEI/EIN Number | 47-3232455 |
| Address: | 5344 9th St, ZEPHYRHILLS, FL, 33542, US |
| Mail Address: | 5344 9th St, ZEPHYRHILLS, FL, 33542, US |
| ZIP code: | 33542 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952948341 | 2019-12-04 | 2020-02-17 | 2600 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL, 335446310, US | 2600 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL, 335446310, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-313-8486 |
Authorized person
| Name | MR. BRANDON MOORE-HARGROVE |
| Role | MANAGING MEMBER |
| Phone | 8133138486 |
Taxonomy
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Taxonomy Code | 322D00000X - Emotionally Disturbed Childrens' Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014867300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Moore-Hargrove Brandon | Agent | 34726 Arbor Green PL, Zephyrhills, FL, 33541 |
| Name | Role | Address |
|---|---|---|
| Moore-Hargrove Brandon C | Owner | 34726 Arbor Green Pl, Zephyrhills, FL, 33541 |
| Name | Role | Address |
|---|---|---|
| MOORE-HARGROVE ANDREW | Auth | 3105 CAMPHOR DR, PLANT CITY, FL, 33566 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000023780 | LIBERTY TRAINING CENTER | ACTIVE | 2020-02-24 | 2025-12-31 | No data | 2600 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL, 33544 |
| G20000022070 | LIBERTY HOME SERVICES | ACTIVE | 2020-02-19 | 2025-12-31 | No data | 2600 CYPRESS RIDGE BLVD, WESLEY CHAPEL, FL, 33544 |
| G19000077167 | LIBERTY | EXPIRED | 2019-07-17 | 2024-12-31 | No data | 2600 CYPRESS RIDGE BLVD., WESLEY CHAPEL, FL, 33544 |
| G19000057786 | FORT HOPE ACADEMY | EXPIRED | 2019-05-14 | 2024-12-31 | No data | 2600 CYPRESS RIDGE BLVD,, WESLEY CHAPEL, FL, 33544 |
| G17000017247 | AHLA, LLC | EXPIRED | 2017-02-15 | 2022-12-31 | No data | 27524 CASHFORD CIRCLE SUITE 102, WESLEY CHAPEL, FL, 33544 |
| G15000038312 | ATARAXIA HEALTH & LIFE ALTERNATIVES, LLC | EXPIRED | 2015-04-16 | 2020-12-31 | No data | 5040 NEW SAVANNAH CIR, WESLEY CHAPEL, FL, 33545 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-01 | 5344 9th St, Ste 112, ZEPHYRHILLS, FL 33542 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-01 | 5344 9th St, Ste 112, ZEPHYRHILLS, FL 33542 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-15 | Moore-Hargrove, Brandon | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-15 | 34726 Arbor Green PL, Zephyrhills, FL 33541 | No data |
| REINSTATEMENT | 2016-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-19 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-02-15 |
| REINSTATEMENT | 2016-10-18 |
| Florida Limited Liability | 2015-03-03 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
