| Entity Name: | HARRIS NOURISHING ANGELS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Jun 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Sep 2023 (a year ago) |
| Document Number: | L20000178927 |
| FEI/EIN Number | 85-1614113 |
| Address: | 2314 30TH ST S, SAINT PETERSBURG, FL 33712 |
| Mail Address: | 2314 30TH ST S, SAINT PETERSBURG, FL 33712 |
| ZIP code: | 33712 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992565220 | 2024-03-21 | 2024-03-21 | 2314 30TH ST S, SAINT PETERSBURG, FL, 337123340, US | 2314 30TH ST S, SAINT PETERSBURG, FL, 337123340, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 727-642-6922 |
Authorized person
| Name | MRS. CHERIE NICOLE DONALD |
| Role | OWNER/ADMINISTRATOR |
| Phone | 7276426922 |
Taxonomy
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 120170300 |
| State | FL |
| Issuer | AGENCY FOR HEALTHCARE ADMINISTRATION |
| Number | 239939 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRIS, CHERIE N | Agent | 2314 30th st S, St.petersburg, FL 33712 |
| Name | Role | Address |
|---|---|---|
| DONALD, CHERIE N | Manager | 2314 30TH ST S, ST.PETERSBURG, FL 33712 |
| GIBSON, ELIZABETH M | Manager | 10 CYPRESS DRIVE, PALM HARBOR, FL 34684 |
| Donald, Patrick | Manager | 2314 30th st S, Saint Petersburg, FL 33712 |
| Name | Role | Address |
|---|---|---|
| GIBSON, ELIZABETH M | Authorized Member | 10 CYPRESS DRIVE, PALM HARBOR, FL 34684 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-09-21 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-30 | 2314 30th st S, St.petersburg, FL 33712 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-18 | 2314 30TH ST S, SAINT PETERSBURG, FL 33712 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-18 | 2314 30TH ST S, SAINT PETERSBURG, FL 33712 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| LC Amendment | 2023-09-21 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| Florida Limited Liability | 2020-06-25 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
