| Entity Name: | GENUINELY BLESSED HANDS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Mar 2021 (4 years ago) |
| Document Number: | L21000150889 |
| FEI/EIN Number | 86-2984692 |
| Address: | 623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206 |
| Mail Address: | 623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265191548 | 2021-12-14 | 2021-12-14 | 623 LONG BRANCH BLVD, JACKSONVILLE, FL, 322066252, US | 623 LONG BRANCH BLVD, JACKSONVILLE, FL, 322066252, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-571-7843 |
Authorized person
| Name | SHANTRELL COBB |
| Role | OWNER |
| Phone | 9045717843 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | HOMECARE |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COBB, SHANTRELL N | Agent | 623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206 |
| Name | Role | Address |
|---|---|---|
| COBB, SHANTRELL N | Chief Executive Officer | 623 LONG BRANCH BLVD, JACKSONVILLE, FL 32206 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-30 |
| Florida Limited Liability | 2021-03-31 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
