Search icon

WHITE SANDS HOME CARE LLC

Company Details

Entity Name: WHITE SANDS HOME CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Jun 2020 (5 years ago)
Document Number: L20000168199
FEI/EIN Number 85-1610044
Address: 300 WILLIAMSBURG DR., GULF BREEZE, FL, 32561, UN
Mail Address: 300 WILLIAMSBURG DR., GULF BREEZE, FL, 32561, UN
ZIP code: 32561
County: Santa Rosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225862352 2024-08-30 2024-08-30 300 WILLIAMSBURG DR, GULF BREEZE, FL, 325614526, US 300 WILLIAMSBURG DR, GULF BREEZE, FL, 325614526, US

Contacts

Phone +1 850-208-4656

Authorized person

Name MAX HAINES
Role OWNER
Phone 8502084656

Taxonomy

Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary Yes

Agent

Name Role Address
HAINES MAX T Agent 300 WILLIAMSBURG DR., GULF BREEZE, FL, 32561

Chief Executive Officer

Name Role Address
HAINES MAX T Chief Executive Officer 300 WILLIAMSBURG DR., GULF BREEZE, 32561

Chief Operating Officer

Name Role Address
MASHBURN ESTRADA DEANNA L Chief Operating Officer 800 EBB TIDE DR., PENSACOLA, 32507

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-04-06
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-02-04
Florida Limited Liability 2020-06-17

Date of last update: 03 Feb 2025

Sources: Florida Department of State