| Entity Name: | TOUCH OF LOVE AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Feb 2019 (6 years ago) |
| Document Number: | L19000044637 |
| FEI/EIN Number | 83-3180705 |
| Address: | 1376 POLK AVE, DELTONA, FL, 32738, US |
| Mail Address: | 1376 POLK AVE, DELTONA, FL, 32738, US |
| ZIP code: | 32738 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952936775 | 2020-03-12 | 2020-03-12 | 1376 POLK AVE, DELTONA, FL, 327386933, US | 1376 POLK AVE, DELTONA, FL, 327386933, US | |||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 407-687-9938 |
Authorized person
| Name | QUATRILYA MATHIS-HALL |
| Role | DIRECTOR |
| Phone | 4076879938 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103574000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MATHIS-HALL QUATRILYA M | Agent | 1376 POLK AVE, DELTONA, FL, 32738 |
| Name | Role | Address |
|---|---|---|
| MATHIS-HALL QUATRILYA | Ceo | 1376 POLK AVE, DELTONA, FL, 32738 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-02-24 |
| Florida Limited Liability | 2019-02-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
