Entity Name: | GIA FFF LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 06 Apr 2021 (4 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 03 Jan 2024 (a year ago) |
Document Number: | L21000159118 |
FEI/EIN Number | 88-0880331 |
Address: | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 |
Mail Address: | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 |
ZIP code: | 34668 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1730872508 | 2023-05-30 | 2024-08-12 | 9442 BARNSTEAD LN, PORT RICHEY, FL, 346684303, US | 9442 BARNSTEAD LN, PORT RICHEY, FL, 346684303, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 727-505-9877 |
Authorized person
Name | RUSSELL GIRESI |
Role | OWNER |
Phone | 7275059877 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 115999300 |
State | FL |
Issuer | MEDICAID |
Number | 23511316Z |
State | FL |
Issuer | AHCA |
Number | 299996084 |
State | FL |
Name | Role | Address |
---|---|---|
GIRESI, RUSSELL | Agent | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 |
Name | Role | Address |
---|---|---|
GIRESI, RUSSELL | Authorized Member | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 |
OLSON, DEANNA D | Authorized Member | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2024-01-03 | No data | No data |
LC AMENDMENT | 2023-07-26 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2023-04-19 | GIRESI, RUSSELL | No data |
REINSTATEMENT | 2023-04-19 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2022-07-22 | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-30 | 9442 BARNSTEAD LN, PORT RICHEY, FL 34668 | No data |
LC STMNT OF RA/RO CHG | 2022-03-30 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-09 |
ANNUAL REPORT | 2024-04-02 |
LC Amendment | 2024-01-03 |
LC Amendment | 2023-07-26 |
REINSTATEMENT | 2023-04-19 |
CORLCRACHG | 2022-03-30 |
Florida Limited Liability | 2021-04-06 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State