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KEYSTONE HOME HEALTH D6 LLC

Company Details

Entity Name: KEYSTONE HOME HEALTH D6 LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Apr 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 08 Dec 2021 (3 years ago)
Document Number: L21000188320
FEI/EIN Number 86-3216500
Address: 10002 Princess Palm Ave, Suite # 216, Tampa, FL 33619
Mail Address: 10002 Princess Palm Ave, Suite # 216, Tampa, FL 33619
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902489966 2021-04-28 2023-03-07 10002 PRINCESS PALM AVE STE 216, TAMPA, FL, 336191386, US 10002 PRINCESS PALM AVE STE 216, TAMPA, FL, 336191386, US

Contacts

Phone +1 813-372-5777
Fax 8133725776

Authorized person

Name MR. RICHARD S GARBACIK JR.
Role CHIEF FINANCIAL OFFICER
Phone 8133725777

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes

Agent

Name Role Address
GARBACIK, RICHARD S, JR Agent 1471 TURKEY OAK RUN, DELAND, FL 32720

Member

Name Role Address
BURSTEIN, JASON G Member 5500 COLLINS AVE, MIAMI BEACH, FL 33174

Chief Financial Officer

Name Role Address
Garbacik, Richard S, Jr. Chief Financial Officer 10002 Princess Palm Ave, Suite # 216 Tampa, FL 33619

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-01-10 10002 Princess Palm Ave, Suite # 216, Tampa, FL 33619 No data
CHANGE OF MAILING ADDRESS 2022-01-10 10002 Princess Palm Ave, Suite # 216, Tampa, FL 33619 No data
LC AMENDMENT 2021-12-08 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-02-01
ANNUAL REPORT 2022-01-10
LC Amendment 2021-12-08
Florida Limited Liability 2021-04-22

Date of last update: 14 Jan 2025

Sources: Florida Department of State