| Entity Name: | HADASSAH HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HADASSAH HOME CARE LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 18 Dec 2020 (4 years ago) |
| Document Number: | L20000395435 |
| FEI/EIN Number |
86-2189557
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 124 Miracle Strip Pkwy, Mary Esther, FL, 32569, US |
| Mail Address: | 24 POULTON DRIVE NW, FORT WALTON BEACH, FL, 32548, US |
| ZIP code: | 32569 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265143192 | 2022-12-12 | 2023-01-19 | 24 POULTON DR NW, FORT WALTON BEACH, FL, 325484500, US | 124 E MIRACLE STRIP PKWY, MARY ESTHER, FL, 325691988, US | |||||||||||||||||||||||||||||
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| Phone | +1 850-601-9710 |
| Fax | 8507109745 |
Authorized person
| Name | LEAH OWENS |
| Role | ADMINISTRATOR |
| Phone | 8505826717 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 115725300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| OWENS LEAH A | Chief Executive Officer | 24 POULTON DRIVE NW, FORT WALTON BEACH, FL, 32548 |
| Owens Kenneth JJr. | Auth | 24 POULTON DRIVE NW, FORT WALTON BEACH, FL, 32548 |
| OWENS LEAH A | Agent | 24 POULTON DRIVE NW, FORT WALTON BEACH, FL, 32548 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-12-05 | 124 Miracle Strip Pkwy, SUITE 202, Mary Esther, FL 32569 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-03-29 |
| Florida Limited Liability | 2020-12-18 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
