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NURSE AT HOME HEALTHCARE LLC

Company Details

Entity Name: NURSE AT HOME HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Apr 2021 (4 years ago)
Document Number: L21000174547
FEI/EIN Number 86-3461241
Address: 1415 LA CASITA ST, DELTONA, FL 32725 UN
Mail Address: 1415 LA CASITA ST, DELTONA, FL 32725 UN
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619551264 2021-05-10 2021-05-10 1415 LA CASITA ST, DELTONA, FL, 327257428, US 1415 LA CASITA ST, DELTONA, FL, 327257428, US

Contacts

Phone +1 321-701-4823

Authorized person

Name RICHARD BASTER
Role CEO
Phone 3217014823

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
BASTER, RICHARD B Agent 1415 LA CASITA ST, DELTONA, FL 32725

Chief Executive Officer

Name Role Address
BASTER, RICHARD B Chief Executive Officer 1415 La Casita st, Deltona, FL 32725

President

Name Role Address
BASTER, RICHARD B President 1415 La Casita st, Deltona, FL 32725

Vice President

Name Role Address
Rodriguez, Alexandra Vice President 1415 La Casita st, Deltona, FL 32725

Chief Operating Officer

Name Role Address
Rodriguez, Alexandra Chief Operating Officer 1415 La Casita st, Deltona, FL 32725

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-01-29
ANNUAL REPORT 2022-03-21
Florida Limited Liability 2021-04-15

Date of last update: 14 Jan 2025

Sources: Florida Department of State