| Entity Name: | HELPING HANDS MULTI CARE SUPPORT SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 02 May 2017 (8 years ago) |
| Date of dissolution: | 11 Apr 2024 (10 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Apr 2024 (10 months ago) |
| Document Number: | L17000097785 |
| FEI/EIN Number | 82-1431360 |
| Address: | 3680 SE Gatehouse Cir, Stuart, FL, 34994, US |
| Mail Address: | P.O. BOX 626, PORT SALERNO, FL, 34992, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356904783 | 2019-04-22 | 2020-08-19 | 1966 SW DORADO LN, PORT ST LUCIE, FL, 349531825, US | 1966 SW DORADO LN, PORT ST LUCIE, FL, 349531825, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 772-940-6755 |
| Fax | 7724469744 |
Authorized person
| Name | WILLERMINE BROOKINS |
| Role | OWNER |
| Phone | 7722039793 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102858100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETTWAY WILLERMINE | Agent | 3680 SE Gatehouse Cir, Stuart, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| PETTWAY WILLERMINE | Chief Executive Officer | 3680 SE GATEHOUSE CIR, STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| PIERRE-TOUSSAINT NIASHA | Auth | P.O. BOX 626, PORT SALERNO, FL, 34992 |
| Augustine Lurene P | Auth | P.O. BOX 626, PORT SALERNO, FL, 34992 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-11 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-16 | 3680 SE Gatehouse Cir, Suite 236, Stuart, FL 34994 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-03-16 | PETTWAY, WILLERMINE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-16 | 3680 SE Gatehouse Cir, Suite 236, Stuart, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2020-11-02 | 3680 SE Gatehouse Cir, Suite 236, Stuart, FL 34994 | No data |
| REINSTATEMENT | 2019-02-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-11 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-29 |
| REINSTATEMENT | 2019-02-27 |
| Florida Limited Liability | 2017-05-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
