| Entity Name: | HOME AWAY FROM HOME FAMILY CARE , LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Apr 2020 (5 years ago) |
| Document Number: | L20000102335 |
| FEI/EIN Number | 85-0778196 |
| Address: | 4625 LEE BLVD, LEHIGH ACRES, FL, 33971 |
| Mail Address: | 4625 LEE BLVD, LEHIGH ACRES, FL, 33971 |
| ZIP code: | 33971 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548966799 | 2023-01-31 | 2023-01-31 | 4625 LEE BLVD, LEHIGH ACRES, FL, 339711620, US | 4625 LEE BLVD, LEHIGH ACRES, FL, 339711620, US | |||||||||||||
|
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| Phone | +1 239-245-1697 |
Authorized person
| Name | MELECIA CALLUM TYEHIMBA |
| Role | CEO / ADMINISTRATOR |
| Phone | 2392451697 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CALLUM TYEHIMBA MELECIA | Agent | 4625 LEE BLVD, LEHIGH ACRES, FL, 33971 |
| Name | Role | Address |
|---|---|---|
| CALLUM TYEHIMBA MELECIA | Manager | 4625 LEE BLVD, LEHIGH ACRES, FL, 33971 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-30 |
| Florida Limited Liability | 2020-04-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
