| Entity Name: | GRACEFUL HANDS OF COMPASSION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Apr 2021 (4 years ago) |
| Document Number: | L21000184639 |
| FEI/EIN Number | 87-1223286 |
| Address: | 131 North 6th Street, HAINES CITY, FL, 33844, US |
| Mail Address: | 131 North 6th Street, HAINES CITY, FL, 33844, US |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083378244 | 2021-10-25 | 2022-05-23 | 2402 PALM AVE, HAINES CITY, FL, 338444504, US | 2402 PALM AVE, HAINES CITY, FL, 338444504, US | |||||||||||||||||||||||
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| Phone | +1 863-512-6557 |
Authorized person
| Name | TIA HAMPTON |
| Role | OWNER |
| Phone | 8635126557 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111869500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAMPTON TIA R | Agent | 2402 PALM AVE, HAINES CITY, FL, 33844 |
| Name | Role | Address |
|---|---|---|
| HAMPTON TIA R | Manager | 2402 PALM AVE, HAINES CITY, FL, 33844 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000128067 | GRACEFUL HANDS MEDICAL STAFFING | ACTIVE | 2021-09-23 | 2026-12-31 | No data | 2402 PALM AVE, HAINES CITY, FL, 33844 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-07-29 | 131 North 6th Street, HAINES CITY, FL 33844 | No data |
| CHANGE OF MAILING ADDRESS | 2024-07-29 | 131 North 6th Street, HAINES CITY, FL 33844 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-05 |
| Florida Limited Liability | 2021-04-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
