| 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 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326670357 | 2020-02-07 | 2020-02-07 | 101 CENTURY 21 DR STE 208, JACKSONVILLE, FL, 322169293, US | 101 CENTURY 21 DR STE 208, JACKSONVILLE, FL, 322169293, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 904-703-9214 |
Authorized person
| Name | CHARLENE DENNIS |
| Role | ADMINISTRATOR |
| Phone | 9047039214 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251G00000X - Community Based Hospice Care Agency |
| Is Primary | No |
| Taxonomy Code | 251K00000X - Public Health or Welfare Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Albert Tyler | Agent | 101 CENTURY DRIVE, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| DENNIS CHARLENE | Authorized Member | 101 CENTURY 21 DRIVE, JACKSONVILLE, FL, 32216 |
| DENNIS COREY | Authorized Member | 101 CENTURY 21 DRIVE, JACKSONVILLE, FL, 32216 |
| TYLER, JR. ALBERT | Authorized Member | 101 CENTURY 21 DRIVE, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-11-17 | Albert, Tyler | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-02 | 101 CENTURY DRIVE, 208, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-12-02 | 101 CENTURY 21 DRIVE, SUITE 208, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2019-12-02 | 101 CENTURY 21 DRIVE, SUITE 208, JACKSONVILLE, FL 32216 | No data |
| 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 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
