| Entity Name: | PUREST HEARTS HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Jun 2018 (7 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L18000152219 |
| FEI/EIN Number | 83-0983829 |
| Address: | 2904 E. Highway 98, PANAMA CITY, FL 32401 |
| Mail Address: | 3822 WHITEHEAD BLVD, PANAMA CITY, FL 32404 |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114511243 | 2021-03-01 | 2021-03-01 | 2904 E HIGHWAY 98, PANAMA CITY, FL, 324015430, US | 2904 E HIGHWAY 98, PANAMA CITY, FL, 324015430, US | |||||||||||||||||||
|
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| Phone | +1 850-358-7491 |
Authorized person
| Name | BENITA HALSTEAD |
| Role | OWNER |
| Phone | 8503587491 |
Taxonomy
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106260000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HALSTEAD, BENITA M | Agent | 2904 E. Highway 98, PANAMA CITY, FL 32401 |
| Name | Role | Address |
|---|---|---|
| HALSTEAD, BENITA M | Manager | 2904 E. HIGHWAY 98, PANAMA CITY, FL 32401 |
| Name | Role | Address |
|---|---|---|
| GRIER, PHYLLIS F | Authorized Representative | 2904 E. HIGHWAY 98, PANAMA CITY, FL 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-23 | 2904 E. Highway 98, PANAMA CITY, FL 32401 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-25 | 2904 E. Highway 98, PANAMA CITY, FL 32401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-16 | 2904 E. Highway 98, PANAMA CITY, FL 32401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-05-15 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-06-21 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
