| Entity Name: | DIVINITY HOME HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
DIVINITY HOME HEALTHCARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 07 Jul 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 15 Aug 2016 (9 years ago) |
| Document Number: | L16000128929 |
| FEI/EIN Number |
81-3248748
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2001 Wells Road, D, Orange Park, FL 32073 |
| Mail Address: | 2001 Wells Road, D, Orange Park, FL 32073 |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093168924 | 2016-07-15 | 2023-03-23 | 3829 CARDINAL OAKS CIR, ORANGE PARK, FL, 320654251, US | 1734 KINGSLEY AVE STE 3, ORANGE PARK, FL, 320734418, US | |||||||||||||||||||||||
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| Phone | +1 561-543-1498 |
| Fax | 9049008113 |
| Phone | +1 904-900-8073 |
Authorized person
| Name | GERT LOUIS |
| Role | AMBR |
| Phone | 5615431498 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1093168924 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOUIS, GERT J | Agent | 3829 Cardinal Oaks Cir, Orange Park, FL 32065 |
| LOUIS, GERT J | Manager | 3829 Cardinal Oaks Circle, Orange Park, FL 32065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 2001 Wells Road, D, Orange Park, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 2001 Wells Road, D, Orange Park, FL 32073 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-23 | 3829 Cardinal Oaks Cir, Orange Park, FL 32065 | - |
| LC AMENDMENT | 2016-08-15 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-03 |
| LC Amendment | 2016-08-15 |
| Florida Limited Liability | 2016-07-07 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
