| Entity Name: | CELESTIAL DILIGENT SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2017 (8 years ago) |
| Document Number: | L17000145599 |
| FEI/EIN Number | 82-2079339 |
| Address: | 2212 COLVILLE CHASE DRIVE, RUSKIN, FL, 33570 |
| Mail Address: | 2212 COLVILLE CHASE DRIVE, RUSKIN, FL, 33570 |
| ZIP code: | 33570 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710400627 | 2017-07-23 | 2022-11-05 | 2212 COLVILLE CHASE DR, RUSKIN, FL, 335706304, US | 2212 COLVILLE CHASE DR, RUSKIN, FL, 335706304, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 941-705-8118 |
Authorized person
| Name | MR. RALPH DOUGLAS |
| Role | ADMINISTRATOR |
| Phone | 9417058118 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1710400627 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DOUGLAS RALPH | Agent | 2212 COLVILLE CHASE DRIVE, RUSKIN, FL, 33570 |
| Name | Role | Address |
|---|---|---|
| DOUGLAS RALPH | Director | 2212 COLVILLE CHASE DRIVE, RUSKIN, FL, 33570 |
| Name | Role | Address |
|---|---|---|
| MORELAND CICELY | Auth | 2212 COLVILLE CHASE DRIVE, RUSKIN, FL, 33570 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-26 |
| Florida Limited Liability | 2017-07-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
