| Entity Name: | GRANDPA HOME HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 May 2019 (6 years ago) |
| Document Number: | L19000120397 |
| FEI/EIN Number | 83-4723140 |
| Address: | 1499 Forest Hill Blvd, Suite 119, West Palm Beach, FL, 33406, US |
| Mail Address: | 1499 Forest Hill Blvd, Suite 119, West Palm Beach, FL, 33406, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164030235 | 2020-07-15 | 2022-12-20 | 1499 FOREST HILL BLVD STE 119, WEST PALM BEACH, FL, 334066050, US | 1499 FOREST HILL BLVD STE 119, WEST PALM BEACH, FL, 334066050, US | |||||||||||||||
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| Phone | +1 561-774-8569 |
| Fax | 5617631300 |
Authorized person
| Name | NANCY FERNANDEZ |
| Role | ADMINISTRATOR |
| Phone | 5617748569 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ EDUARDO | Agent | 18604 42Nd Rd N, Loxahatchee, FL, 33470 |
| Name | Role | Address |
|---|---|---|
| FERNANDEZ EDUARDO | Manager | 1026 SERENADE CIR, ROYAL PALM BEACH, FL, 33411 |
| Name | Role | Address |
|---|---|---|
| Fernandez Nancy Adm | Admi | 1499 Forest Hill Blvd, West Palm Beach, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-01-21 | 1499 Forest Hill Blvd, Suite 119, West Palm Beach, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-21 | 18604 42Nd Rd N, Loxahatchee, FL 33470 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-26 | 1499 Forest Hill Blvd, Suite 119, West Palm Beach, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-23 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-03-06 |
| ANNUAL REPORT | 2020-02-20 |
| Florida Limited Liability | 2019-05-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
