| Entity Name: | DH HOME HEALTH SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Oct 2017 (7 years ago) |
| Document Number: | L17000203381 |
| FEI/EIN Number | 82-2965823 |
| Address: | 7080 SW 14TH ST, MIAMI, FL 33144 |
| Mail Address: | 7080 SW 14TH ST, MIAMI, FL 33144 |
| ZIP code: | 33144 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548777931 | 2018-01-07 | 2018-01-07 | 7080 SW 14TH ST, MIAMI, FL, 331445415, US | 7080 SW 14TH ST, MIAMI, FL, 331445415, US | |||||||||||||||||||||||||
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| Phone | +1 786-286-4810 |
| Fax | 3052901996 |
Authorized person
| Name | MR. DUANY HERNANDEZ |
| Role | OWNER |
| Phone | 7862864810 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 10488 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10488 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, DUANY | Agent | 4500 SW 114TH CT, MIAMI, FL 33165 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ, DUANY | Authorized Member | 4500 SW 114TH CT, MIAMI, FL 33165 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-05-03 |
| Florida Limited Liability | 2017-10-02 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
