| Entity Name: | HEART OF GOLD AGENCY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Oct 2019 (5 years ago) |
| Document Number: | L19000254407 |
| FEI/EIN Number | 84-3313621 |
| Address: | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714, US |
| Mail Address: | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714, US |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609588276 | 2022-12-15 | 2023-06-01 | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL, 327143056, US | 801 W STATE ROAD 436 STE 2151, ALTAMONTE SPRINGS, FL, 327143056, US | |||||||||||||||||||||
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| Phone | +1 844-461-9200 |
| Fax | 8773880348 |
Authorized person
| Name | CHRISTINA N HARVEY |
| Role | OWNER |
| Phone | 4074619200 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116581400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARVEY CHRISTINA N | Agent | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| HARVEY CHRISTINA N | President | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| Haynes Charles ESr. | Manager | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714 |
| Name | Role | Address |
|---|---|---|
| McGill Brianna M | Auth | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714 |
| Duval A'rianna T | Auth | 801 WEST STATE ROAD 436, Altamonte Springs, FL, 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 801 WEST STATE ROAD 436, Suite 2151, Altamonte Springs, FL 32714 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-30 | 801 WEST STATE ROAD 436, Suite 2151, Altamonte Springs, FL 32714 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-30 | 801 WEST STATE ROAD 436, Suite 2151, Altamonte Springs, FL 32714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-30 |
| Florida Limited Liability | 2019-10-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
