| Entity Name: | HELPFUL HANDS COMPANION SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2019 (6 years ago) |
| Document Number: | L19000159637 |
| FEI/EIN Number | 84-2112473 |
| Address: | 1712 KINGSLEY AVE, ORANGE PARK, FL, 32073, US |
| Mail Address: | po box 7930, jacksonville, FL, 32238, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871073213 | 2018-08-15 | 2023-04-06 | 9951 ATLANTIC BLVD STE 260, JACKSONVILLE, FL, 322256589, US | 9951 ATLANTIC BLVD STE 260, JACKSONVILLE, FL, 322256589, US | |||||||||||||||||||||||||||
|
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| Phone | +1 904-397-3405 |
Authorized person
| Name | MRS. TIA FAYE PARKER |
| Role | OWNER |
| Phone | 9043973405 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021254000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARKER TIA F | Agent | 1712 KINGSLEY AVE., ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| PARKER TIA F | Authorized Member | 1712 KINGSLEY AVE., ORANGE PARK, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 1712 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 32073 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-04 | 1712 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-04 | 1712 KINGSLEY AVE., SUITE 1, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-02-22 |
| ANNUAL REPORT | 2020-03-23 |
| Florida Limited Liability | 2019-06-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
