| Entity Name: | HOPELAND HOMES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 May 2019 (6 years ago) |
| Document Number: | L19000141439 |
| FEI/EIN Number | 84-2001776 |
| Address: | 8218 SWANN HOLLOW DRIVE, TAMPA, FL 33647 |
| Mail Address: | 8218 SWANN HOLLOW DRIVE, TAMPA, FL 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760136386 | 2022-02-11 | 2022-02-11 | 8218 SWANN HOLLOW DR, TAMPA, FL, 336473611, US | 8218 SWANN HOLLOW DR, TAMPA, FL, 336473611, US | |||||||||||||||||||
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| Phone | +1 951-218-3475 |
Authorized person
| Name | ANDRE J CAMPBELL |
| Role | WAIVER PROVIDER |
| Phone | 9512183475 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 103906900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, ANDRE J | Agent | 8218 SWANN HOLLOW DRIVE, TAMPA, FL 33647 |
| Name | Role | Address |
|---|---|---|
| CAMPBELL, ANDRE J | Authorized Representative | 8218 SWANN HOLLOW DRIVE, TAMPA, FL 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-11 | 8218 SWANN HOLLOW DRIVE, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-18 | 8218 SWANN HOLLOW DRIVE, TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| AMENDED ANNUAL REPORT | 2023-10-12 |
| ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-06-18 |
| Florida Limited Liability | 2019-05-28 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
