| Entity Name: | KIDS CORNER THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Jun 2021 (4 years ago) |
| Document Number: | L21000273845 |
| FEI/EIN Number | 87-1225060 |
| Address: | 7528 BIRDWOOD COURT, NEW PORT RICHEY, FL, 34653, US |
| Mail Address: | 7528 BIRDWOOD COURT, NEW PORT RICHEY, FL, 34653, US |
| ZIP code: | 34653 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578136495 | 2021-07-19 | 2021-07-19 | 7528 BIRDWOOD CT, NEW PORT RICHEY, FL, 346532102, US | 7528 BIRDWOOD CT, NEW PORT RICHEY, FL, 346532102, US | |||||||||||||||||||||||||
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| Phone | +1 304-629-6799 |
| Phone | +1 727-777-4687 |
Authorized person
| Name | ROBIN LYNN JONES |
| Role | OWNER/OT |
| Phone | 7277774687 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1700390986 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JONES ROBIN LRA | Agent | 7528 BIRDWOOD COURT, NEW PORT RICHEY, FL, 34653 |
| Name | Role | Address |
|---|---|---|
| JONES ROBIN L | Manager | 7528 BIRDWOOD COURT, NEW PORT RICHEY, FL, 34653 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-19 |
| Florida Limited Liability | 2021-06-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
