| Entity Name: | KATRINA GENTLE HANDS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Sep 2017 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Oct 2022 (2 years ago) |
| Document Number: | L17000200148 |
| FEI/EIN Number | 352380939 |
| Address: | 11924 Forest Hill Blvd, WELLINGTON, FL, 33414, US |
| Mail Address: | 11924 Forest Hill Blvd, WELLINGTON, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144875741 | 2019-08-09 | 2019-08-09 | 2174 CHICKCHARNIES, WEST PALM BEACH, FL, 334115505, US | 2174 CHICKCHARNIES, WEST PALM BEACH, FL, 334115505, US | |||||||||||||||||||
|
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| Phone | +1 561-293-9665 |
Authorized person
| Name | LORISHA A DAVIS |
| Role | OWNER |
| Phone | 5612939665 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 746811 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS LORISHA A | Agent | 6742 Forest Hill Blvd, WEST PALM BEACH, FL, 33413 |
| Name | Role | Address |
|---|---|---|
| DAVIS LORISHA A | Authorized Member | 6742 Forest Hill Blvd, WEST PALM BEACH, FL, 33413 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-09-16 | 11924 Forest Hill Blvd, suite 10A #127, WELLINGTON, FL 33414 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-16 | 11924 Forest Hill Blvd, suite 10A #127, WELLINGTON, FL 33414 | No data |
| REINSTATEMENT | 2022-10-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-10-28 | 6742 Forest Hill Blvd, #234, WEST PALM BEACH, FL 33413 | No data |
| REINSTATEMENT | 2021-10-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2020-09-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2018-10-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| REINSTATEMENT | 2022-10-18 |
| REINSTATEMENT | 2021-10-28 |
| REINSTATEMENT | 2020-09-25 |
| REINSTATEMENT | 2018-10-03 |
| Florida Limited Liability | 2017-09-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
