| Entity Name: | PUDDLE OF HEARTS HOMECARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Mar 2021 (4 years ago) |
| Document Number: | L21000098112 |
| FEI/EIN Number | 86-2509284 |
| Address: | 7316 WILDER AVE, JACKSONVILLE, FL, 32208 |
| Mail Address: | 7316 WILDER AVE, JACKSONVILLE, FL, 32208 |
| ZIP code: | 32208 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619546710 | 2021-06-22 | 2024-09-12 | 7316 WILDER AVE, JACKSONVILLE, FL, 322084270, US | 7316 WILDER AVE, JACKSONVILLE, FL, 322084270, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-612-9079 |
Authorized person
| Name | RAYTONYA FREEMAN |
| Role | CEO |
| Phone | 9048350722 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FREEMAN RAYTONYA | Agent | 7316 WILDER AVE, JACKSONVILLE, FL, 32208 |
| Name | Role | Address |
|---|---|---|
| FREEMAN RAYTONYA | Manager | 7316 WILDER AVE, JACKSONVILLE, FL, 32208 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000044535 | POH STAFFING AGENCY | ACTIVE | 2024-04-01 | 2029-12-31 | No data | 7316 WILDER AVE, JACKSONVILLE, FL, 32208 |
| G23000033255 | PUDDLE OF HEARTS NURSE REGISTRY | ACTIVE | 2023-03-13 | 2028-12-31 | No data | 7316 WILDER AVE, JACKSONVILLE, FL, 32208 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-05-01 |
| Florida Limited Liability | 2021-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
