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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
GARBACIK, RICHARD S, JR | Agent | 1471 TURKEY OAK RUN, DELAND, FL 32720 |
Name | Role | Address |
---|---|---|
BURSTEIN, JASON G | Member | 5500 COLLINS AVE, MIAMI BEACH, FL 33174 |
Name | Role | Address |
---|---|---|
Garbacik, Richard S, Jr. | Chief Financial Officer | 10002 Princess Palm Ave, Suite # 216 Tampa, FL 33619 |
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 |
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