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BLACKSTONE HOME HEALTHCARE LLC - Florida Company Profile

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Company Details

Entity Name: BLACKSTONE HOME HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Mar 2019 (6 years ago)
Document Number: L19000077569
FEI/EIN Number APPLIED FOR
Address: 101 CENTURY 21 DRIVE, SUITE 208, JACKSONVILLE, FL, 32216, US
Mail Address: 101 CENTURY 21 DRIVE, SUITE 208, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DENNIS COREY Authorized Member 101 CENTURY 21 DRIVE, JACKSONVILLE, FL, 32216
TYLER, JR. ALBERT Authorized Member 101 CENTURY 21 DRIVE, JACKSONVILLE, FL, 32216
Albert Tyler Agent 101 CENTURY DRIVE, JACKSONVILLE, FL, 32216

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
ALBERT TYLER
Ownership and Self-Certifications:
Black American, Self-Certified Small Disadvantaged Business, Service-Disabled Veteran, Veteran
User ID:
P2610456

Unique Entity ID

Unique Entity ID:
L154NSVQM9C7
CAGE Code:
901V3
UEI Expiration Date:
2026-06-09

Business Information

Activation Date:
2025-06-11
Initial Registration Date:
2021-04-16

Commercial and government entity program

CAGE number:
901V3
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-11
CAGE Expiration:
2030-06-11
SAM Expiration:
2026-06-09

Contact Information

POC:
ALBERT TYLER

National Provider Identifier

NPI Number:
1326670357
Certification Date:
2020-02-07

Authorized Person:

Name:
CHARLENE DENNIS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251K00000X - Public Health or Welfare Agency
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
251F00000X - Home Infusion Agency
Is Primary:
No
Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-11-17 Albert, Tyler -
REGISTERED AGENT ADDRESS CHANGED 2020-01-02 101 CENTURY DRIVE, 208, JACKSONVILLE, FL 32216 -
CHANGE OF PRINCIPAL ADDRESS 2019-12-02 101 CENTURY 21 DRIVE, SUITE 208, JACKSONVILLE, FL 32216 -
CHANGE OF MAILING ADDRESS 2019-12-02 101 CENTURY 21 DRIVE, SUITE 208, JACKSONVILLE, FL 32216 -

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-02-07
AMENDED ANNUAL REPORT 2021-11-17
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-01-02
Florida Limited Liability 2019-03-19

USAspending Awards / Financial Assistance

Date:
2020-06-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
26000.00
Total Face Value Of Loan:
26000.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 03 Aug 2025

Sources: Florida Department of State