| Entity Name: | NEO HOME HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Apr 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Jun 2020 (5 years ago) |
| Document Number: | L20000102676 |
| FEI/EIN Number | 85-0951372 |
| Address: | 815 NORTH MAIN STREET, SUITE C, KISSIMMEE, FL 34744 |
| Mail Address: | 815 NORTH MAIN STREET, SUITE C, KISSIMMEE, FL 34744 |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447873641 | 2020-05-21 | 2023-04-11 | 815 N MAIN ST STE C, KISSIMMEE, FL, 347444565, US | 815 N MAIN ST STE C, KISSIMMEE, FL, 347444565, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-815-4049 |
| Fax | 4077078536 |
Authorized person
| Name | NEILROCK PAZ |
| Role | PRESIDENT |
| Phone | 4078154049 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117565900 |
| State | FL |
| Issuer | MEDICAID |
| Number | CNN687149 |
| State | FL |
| Issuer | STATE LIC |
| Number | 299995151 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAZ, NEILROCK | Agent | 2065 CEDAR GARDEN DRIVE, ORLANDO, FL 32824 |
| Name | Role |
|---|---|
| PNR HOLDINGS LLC | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-06-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-06-04 |
| LC Amendment | 2020-06-18 |
| Florida Limited Liability | 2020-04-14 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
