| Entity Name: | KEYSTONE HOME HEALTH D3 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Apr 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 08 Dec 2021 (3 years ago) |
| Document Number: | L21000171516 |
| FEI/EIN Number | 86-3216759 |
| Address: | KH3 Holding, 10002 Princess Palm Ave, 216, Tampa, FL 33619-1372 |
| Mail Address: | KH3 Holding, 10002 Princess Palm Ave, 216, Tampa, FL 33619-1372 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891369955 | 2021-05-13 | 2021-05-13 | 2040 NE COACHMAN RD STE B, CLEARWATER, FL, 337652610, US | 2040 NE COACHMAN RD STE B, CLEARWATER, FL, 337652610, US | |||||||||||||||
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| Phone | +1 727-669-2777 |
| Fax | 7276692778 |
Authorized person
| Name | MR. RICHARD S GARBACIK JR. |
| Role | CHIEF FINANCIAL OFFICE |
| Phone | 7276692777 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARBACIK, RICHARD S, JR | Agent | 1471 TURKEY OAK RUN, DELAND, FL 33140 |
| Name | Role | Address |
|---|---|---|
| BURSTEIN, JASON G | Authorized Member | KH3 Holding, 10002 Princess Palm Ave 216 Tampa, FL 33619-1372 |
| Name | Role | Address |
|---|---|---|
| Garbacik, Richard S, Jr. | Chief Financial Officer | KH3 Holding, 10002 Princess Palm Ave 216 Tampa, FL 33619-1372 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-01 | KH3 Holding, 10002 Princess Palm Ave, 216, Tampa, FL 33619-1372 | No data |
| CHANGE OF MAILING ADDRESS | 2023-02-01 | KH3 Holding, 10002 Princess Palm Ave, 216, Tampa, FL 33619-1372 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-15 | GARBACIK, RICHARD S, JR | No data |
| LC AMENDMENT | 2021-12-08 | No data | No data |
| 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 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
