| Entity Name: | POSITIVE VIBEZ HEALTHCARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Apr 2019 (6 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 19 Aug 2021 (3 years ago) |
| Document Number: | L19000106387 |
| FEI/EIN Number | 872189514 |
| Address: | 6 BUCKEYE CIRCLE NE, WINTER HAVEN, FL, 33881, US |
| Mail Address: | 6 BUCKEYE CIRCLE NE, WINTER HAVEN, FL, 33881, US |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568046647 | 2021-05-05 | 2021-09-07 | 6 BUCKEYE CIR NE, WINTER HAVEN, FL, 338812733, US | 6 BUCKEYE CIR NE, WINTER HAVEN, FL, 338812733, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 863-205-6757 |
| Fax | 8632920777 |
Authorized person
| Name | MS. CINDY PATRICIA DUARTE |
| Role | OWNER |
| Phone | 8632056757 |
Taxonomy
| Taxonomy Code | 163W00000X - Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 177F00000X - Lodging Provider |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| 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 | 109351600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Granderson CINDY P | Agent | 6 BUCKEYE CIRCLE NE, WINTER HAVEN, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| Granderson CINDY P | Manager | 6 BUCKEYE CIRCLE NE, WINTER HAVEN, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| GEORGE-DRENNON PATRICIA R | Authorized Member | 9806 N ELMER STREET, TAMPA, FL, 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-04 | Granderson, CINDY P | No data |
| LC NAME CHANGE | 2021-08-19 | POSITIVE VIBEZ HEALTHCARE SERVICES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-03-18 |
| LC Name Change | 2021-08-19 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-03-26 |
| Florida Limited Liability | 2019-04-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
