Entity Name: | LABELLA HOME LLC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 18 Sep 2019 (5 years ago) |
Document Number: | L19000236189 |
FEI/EIN Number | 84-3202748 |
Address: | 10774 125TH AVENUE, LARGO, FL, 33778 |
Mail Address: | 10774 125TH AVENUE, LARGO, FL, 33778 |
ZIP code: | 33778 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972256444 | 2022-02-03 | 2022-02-03 | 10774 125TH AVE, LARGO, FL, 337782712, US | 10774 125TH AVE, LARGO, FL, 337782712, US | |||||||||||||||||||
|
Phone | +1 727-412-4898 |
Authorized person
Name | ELEANOR MANERA |
Role | OWNER |
Phone | 7274124898 |
Taxonomy
Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 105225400 |
State | FL |
Name | Role | Address |
---|---|---|
MANERA ELEANOR E | Agent | 10774 125TH AVENUE, LARGO, FL, 33778 |
Name | Role | Address |
---|---|---|
MANERA ELEANOR E | Manager | 10774 125TH AVENUE, LARGO, FL, 33778 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-12-05 | 10774 125TH AVENUE, LARGO, FL 33778 | No data |
CHANGE OF MAILING ADDRESS | 2025-12-05 | 10774 125TH AVENUE, LARGO, FL 33778 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2024-12-05 | 10774 125TH AVENUE, LARGO, FL 33778 | No data |
CHANGE OF MAILING ADDRESS | 2024-12-05 | 10774 125TH AVENUE, LARGO, FL 33778 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-01 |
ANNUAL REPORT | 2023-03-19 |
ANNUAL REPORT | 2022-03-05 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-06-26 |
Florida Limited Liability | 2019-09-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State