| Entity Name: | KMP HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 May 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L20000143127 |
| FEI/EIN Number | 85-1286490 |
| Address: | 141 E. Central Ave., WINTER HAVEN, FL, 33880, US |
| Mail Address: | 8683 Jamestown Drive, WINTER HAVEN, FL, 33884, US |
| ZIP code: | 33880 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952991762 | 2021-01-25 | 2021-01-28 | 4081 MAHOGANY RUN, WINTER HAVEN, FL, 338842931, US | 4081 MAHOGANY RUN, WINTER HAVEN, FL, 338842931, US | |||||||||||||||||||
|
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| Phone | +1 863-289-6611 |
Authorized person
| Name | KEOSHA SADE ROY |
| Role | MANGER |
| Phone | 8632896611 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 237291 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROY KEOSHA | Agent | 8683 Jamestown Drive, WINTER HAVEN, FL, 33884 |
| Name | Role | Address |
|---|---|---|
| ROY KEOSHA S | Manager | 8683 Jamestown Drive, WINTER HAVEN, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-28 | 141 E. Central Ave., Suite340A, WINTER HAVEN, FL 33880 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-28 | 141 E. Central Ave., Suite340A, WINTER HAVEN, FL 33880 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-28 | 8683 Jamestown Drive, WINTER HAVEN, FL 33884 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-28 |
| Florida Limited Liability | 2020-05-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
