| Entity Name: | GENTLE AS A ROSE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Mar 2019 (6 years ago) |
| Document Number: | L19000075834 |
| FEI/EIN Number | 85-2282361 |
| Address: | 79 Shelby Circle, Crawfordville, FL, 32327, US |
| Mail Address: | 79 Shelby Circle, Crawfordville, FL, 32327, US |
| ZIP code: | 32327 |
| County: | Wakulla |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316605918 | 2021-12-01 | 2021-12-01 | 2696 FARINGDON DR, TALLAHASSEE, FL, 323032535, US | 2696 FARINGDON DR, TALLAHASSEE, FL, 323032535, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 850-938-6159 |
Authorized person
| Name | TIA BRINSON |
| Role | OWNER |
| Phone | 8509386159 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111001800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRINSON TIA | Agent | 79 Shelby Circle, Crawfordville, FL, 32327 |
| Name | Role | Address |
|---|---|---|
| BRINSON TIA | Chief Executive Officer | 79 Shelby Circle, Crawfordville, FL, 32327 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 79 Shelby Circle, Crawfordville, FL 32327 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-30 | 79 Shelby Circle, Crawfordville, FL 32327 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-30 | 79 Shelby Circle, Crawfordville, FL 32327 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-06-24 |
| Florida Limited Liability | 2019-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
