| Entity Name: | HEALTHY HAVEN GROUP HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Jul 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: | L20000211645 |
| FEI/EIN Number | 852042653 |
| Address: | 4416 TUNA DR, TAMPA, FL, 33617, US |
| Mail Address: | 8761 N. 56TH STREET, #292024, TEMPLE TERRACE, FL, 33687, US |
| ZIP code: | 33617 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275125973 | 2021-02-04 | 2021-02-04 | 8761 N 56TH ST UNIT 292024, TAMPA, FL, 336879180, US | 11350 66TH ST STE 104, LARGO, FL, 337735524, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-403-8296 |
Authorized person
| Name | HASHANNAH LEWIS |
| Role | OWNER/CEO |
| Phone | 8134038296 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 320700000X - Physical Disabilities Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Lewis Hashannah | Agent | 8761 N. 56TH STREET, TEMPLE TERRACE, FL, 33687 |
| Name | Role | Address |
|---|---|---|
| Hashannah Lewis | Manager | 8761 N. 56TH STREET, TEMPLE TERRACE, FL, 33687 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-08 | Lewis, Hashannah | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-08 | 8761 N. 56TH STREET, #292024, TEMPLE TERRACE, FL 33687 | No data |
| LC DISSOCIATION MEM | 2020-12-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-01-08 |
| CORLCDSMEM | 2020-12-04 |
| Florida Limited Liability | 2020-07-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
