| Entity Name: | GREATER LIVING HOME HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Dec 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Oct 2022 (2 years ago) |
| Document Number: | L20000378088 |
| FEI/EIN Number | 85-4122288 |
| Address: | 156 E BLOOMINGDALE AVE, BRANDON, FL, 33511, US |
| Mail Address: | 156 E BLOOMINGDALE AVE, D, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366032633 | 2021-01-21 | 2023-04-27 | 156 E BLOOMINGDALE AVE STE D, BRANDON, FL, 335118179, US | 156 E BLOOMINGDALE AVE STE D, BRANDON, FL, 335118179, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-324-8884 |
Authorized person
| Name | MARIE ISIDOR |
| Role | AUTHORIZED MEMBER/OWNER |
| Phone | 8133248884 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
Other Provider Identifiers
| Issuer | STATE LICENSE NUMBER |
| Number | 299995480 |
| State | FL |
| Issuer | MEDICAID |
| Number | 116755700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISIDOR MARIE G | Agent | 156 E BLOOMINGDALE AVE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| ISIDOR MARIE G | Authorized Person | 156 E BLOOMINGDALE AVE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| peck darwin c | Auth | 156 E BLOOMINGDALE AVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2022-10-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-31 | ISIDOR, MARIE GERLINE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2021-06-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-17 | 156 E BLOOMINGDALE AVE, BRANDON, FL 33511 | No data |
| LC AMENDMENT | 2021-06-11 | No data | No data |
| LC AMENDMENT | 2021-04-09 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-08-22 |
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-26 |
| REINSTATEMENT | 2022-10-31 |
| LC Amendment | 2021-06-25 |
| LC Amendment | 2021-06-11 |
| LC Amendment | 2021-04-09 |
| ANNUAL REPORT | 2021-02-10 |
| Florida Limited Liability | 2020-12-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
