| Entity Name: | BELLASTOUCH HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 Jun 2021 (4 years ago) |
| Date of dissolution: | 14 Nov 2023 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Nov 2023 (a year ago) |
| Document Number: | L21000279559 |
| FEI/EIN Number | 87-1289864 |
| Address: | 5401 W KENNEDY BLVD, TAMPA, FL 33609 |
| Mail Address: | 5401 W KENNEDY BLVD, TAMPA, FL 33609 |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023776440 | 2021-12-02 | 2022-03-14 | 5401 W KENNEDY BLVD STE 100, TAMPA, FL, 336092457, US | 5401 W KENNEDY BLVD STE 100, TAMPA, FL, 336092457, US | |||||||||||||||||||||||||||
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| Phone | +1 813-830-2776 |
Authorized person
| Name | MRS. SHIDELLE ALECIA WATSON |
| Role | ADMINISTRATOR |
| Phone | 4073257177 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112811000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WATSON, SHIDELLE A | Agent | 8810 SANDY PLAINS DR, N/A, RIVERVIEW, FL 33578 |
| Name | Role | Address |
|---|---|---|
| WATSON, SHIDELLE A | Manager | 8810 SANDY PLAINS DR, N/A, RIVERVIEW, FL 33578 |
| WATSON, DERIAL, JR | Manager | 8810 SANDY PLAINS DR, N/A, RIVERVIEW, FL 33578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-04 | 5401 W KENNEDY BLVD, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-04 | 5401 W KENNEDY BLVD, TAMPA, FL 33609 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-11-14 |
| ANNUAL REPORT | 2022-02-24 |
| Florida Limited Liability | 2021-06-16 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
