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KEYSTONE HOME HEALTH D3 LLC - Florida Company Profile

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Company Details

Entity Name: KEYSTONE HOME HEALTH D3 LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Apr 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 08 Dec 2021 (4 years ago)
Document Number: L21000171516
FEI/EIN Number 86-3216759
Address: KH3 Holding, 10002 Princess Palm Ave, Tampa, FL, 33619-1372, US
Mail Address: KH3 Holding, 10002 Princess Palm Ave, Tampa, FL, 33619-1372, US
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BURSTEIN JASON G Authorized Member KH3 Holding, Tampa, FL, 336191372
Garbacik Richard SJr. Chief Financial Officer KH3 Holding, Tampa, FL, 336191372
GARBACIK RICHARD SJR Agent 1471 TURKEY OAK RUN, DELAND, FL, 33140

National Provider Identifier

NPI Number:
1891369955
Certification Date:
2024-11-15

Authorized Person:

Name:
MR. RICHARD S GARBACIK JR.
Role:
CHIEF FINANCIAL OFFICE
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-01 KH3 Holding, 10002 Princess Palm Ave, 216, Tampa, FL 33619-1372 -
CHANGE OF MAILING ADDRESS 2023-02-01 KH3 Holding, 10002 Princess Palm Ave, 216, Tampa, FL 33619-1372 -
REGISTERED AGENT NAME CHANGED 2022-04-15 GARBACIK, RICHARD S, JR -
LC AMENDMENT 2021-12-08 - -

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-04-15
LC Amendment 2021-12-08
Florida Limited Liability 2021-04-13

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Date of last update: 02 Aug 2025

Sources: Florida Department of State