| Entity Name: | ELISENA HOME & TRANSPORTATION SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Mar 2019 (6 years ago) |
| Document Number: | L19000064016 |
| FEI/EIN Number | 83-4419506 |
| Address: | 10347 Cross Creek Blvd, Suite C, TAMPA, FL 33647 |
| Mail Address: | 1152 Timber Trace Drive, Wesley Chapel, FL 33543 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114675907 | 2022-03-11 | 2022-03-11 | 10347 CROSS CREEK BLVD STE C, TAMPA, FL, 336472993, US | 10347 CROSS CREEK BLVD STE C, TAMPA, FL, 336472993, US | |||||||||||||||||||
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| Phone | +1 813-994-2992 |
Authorized person
| Name | ELISENA B LOUISSAINT |
| Role | GENERAL MANAGER |
| Phone | 8133225122 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 108384400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LOUISSAINT, ELISENA B | Agent | 10347 Cross Creek Blvd, Suite C, TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| LOUISSAINT, ELISENA B | Manager | 10347 Cross Creek Blvd, Suite C TAMPA, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 10347 Cross Creek Blvd, Suite C, TAMPA, FL 33647 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-14 | 10347 Cross Creek Blvd, Suite C, TAMPA, FL 33647 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-14 | 10347 Cross Creek Blvd, Suite C, TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-03-14 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-15 |
| Florida Limited Liability | 2019-03-06 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
