| Entity Name: | CONGRUENT HEARTS COMPANIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 May 2017 (8 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L17000098855 |
| FEI/EIN Number | 82-1404327 |
| Address: | 111 AVE R NE, SUITE D, WINTER HAVEN, FL, 33881 |
| Mail Address: | 111 AVE R NE, SUITE D, WINTER HAVEN, FL, 33881 |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356878086 | 2017-05-12 | 2017-05-12 | 1916 EMILY BLVD, WINTER HAVEN, FL, 338840005, US | 111 AVE R N.E., WINTER, FL, 33880, US | |||||||||||||||||||||||||
|
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| Phone | +1 863-229-7094 |
| Fax | 8632297489 |
Authorized person
| Name | MRS. APRIL DENISE DENMARK |
| Role | PRESIDENT |
| Phone | 8638086061 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 1103 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1558767608 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DENMARK APRIL | Agent | 1916 EMILY BLVD, WINTER HAVEN, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| DENMARK APRIL | Manager | 1916 EMILY BLVD, LAKELAND, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-05-01 |
| Florida Limited Liability | 2017-05-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
