| Entity Name: | PEOPLES HOME HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Apr 2018 (7 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 20 Feb 2020 (5 years ago) |
| Document Number: | L18000098842 |
| FEI/EIN Number | 61-1886165 |
| Address: | 213 E. WRIGHT STREET, PENSACOLA, FL, 32501 |
| Mail Address: | 213 E. WRIGHT STREET, PENSACOLA, FL, 32501 |
| ZIP code: | 32501 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801931837 | 2007-02-20 | 2021-04-12 | 213 E WRIGHT STREET, PENSACOLA, FL, 325014917, US | 213 E WRIGHT STREET, PENSACOLA, FL, 325014917, US | |||||||||||||||||||||||||
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| Phone | +1 850-696-0911 |
| Fax | 8504750690 |
Authorized person
| Name | MR. TIMOTHY ALFRED BUTTELL |
| Role | OWNER / CEO |
| Phone | 8507237076 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299991537 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650889800 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEOPLES HEALTH SERVICES 401(K) PLAN | 2023 | 611886165 | 2024-04-18 | PEOPLES HOME HEALTH, LLC | 59 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-04-18 |
| Name of individual signing | DEBBIE MAZZOLA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8506960911 |
| Plan sponsor’s address | 213 E. WRIGHT STREET, PENSACOLA, FL, 32501 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-24 |
| Name of individual signing | DEBBIE MAZZOLA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2021-01-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8506960911 |
| Plan sponsor’s address | 213 E. WRIGHT STREET, PENSACOLA, FL, 32501 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-02 |
| Name of individual signing | DEBBIE MAZZOLA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MANNING A. ALAN | Agent | 125 E. INTENDENCIA STREET, PENSACOLA, FL, 32502 |
| Name | Role | Address |
|---|---|---|
| BUTTELL TIMOTHY A | Manager | 213 E WRIGHT ST, PENSACOAL, FL, 32501 |
| NORTON MATTHEW | Manager | 213 E. WRIGHT STREET, PENSACOLA, FL, 32501 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000086204 | PEOPLES HOME HEALTH AND HOSPICE | ACTIVE | 2022-07-21 | 2027-12-31 | No data | 213 E. WRIGHT STREET,STE B, PENSCAOLA, FL, 32501 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-03-11 | No data | No data |
| LC AMENDMENT | 2020-02-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-20 | 213 E. WRIGHT STREET, PENSACOLA, FL 32501 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-02-20 | MANNING, A. ALAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-20 | 125 E. INTENDENCIA STREET, 4TH FLOOR, PENSACOLA, FL 32502 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-20 | 213 E. WRIGHT STREET, PENSACOLA, FL 32501 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-03-23 |
| LC Amendment | 2020-03-11 |
| LC Amendment | 2020-02-20 |
| ANNUAL REPORT | 2019-04-11 |
| Florida Limited Liability | 2018-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
