| Entity Name: | GRACEFUL HOME SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GRACEFUL HOME SERVICES LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Feb 2020 (5 years ago) |
| Document Number: | L20000038606 |
| FEI/EIN Number |
84-4660332
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2236 BLACKWOOD DRIVE, MULBERRY, FL, 33860, US |
| Mail Address: | 2236 BLACKWOOD DRIVE, MULBERRY, FL, 33860, US |
| ZIP code: | 33860 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619647179 | 2021-09-16 | 2021-12-29 | 2236 BLACKWOOD DR, MULBERRY, FL, 338605500, US | 2236 BLACKWOOD DR, MULBERRY, FL, 338605500, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 863-258-4147 |
Authorized person
| Name | NICHOLE ROBERTSON |
| Role | OWNER |
| Phone | 8632584147 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105551700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROBERTSON NICHOLE D | Manager | 2236 BLACKWOOD DRIVE, MULBERRY, FL, 33860 |
| ROBERTSON NICHOLE D | Agent | 2236 BLACKWOOD DRIVE, MULBERRY, FL, 33860 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-18 |
| Florida Limited Liability | 2020-02-03 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
