| Entity Name: | CREST HOME HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Aug 2021 (3 years ago) |
| Document Number: | L21000376964 |
| FEI/EIN Number | 872308726 |
| Address: | 2463 MICHIGAN AVE, KISSIMMEE, FL, 34744, US |
| Mail Address: | 2463 MICHIGAN AVE, KISSIMMEE, FL, 34744, US |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255008595 | 2021-08-25 | 2021-10-05 | 5552 OAKWORTH PL, SANFORD, FL, 327737052, US | 2463 MICHIGAN AVE, KISSIMMEE, FL, 347441907, US | |||||||||||||
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| Phone | +1 407-201-4687 |
Authorized person
| Name | JASON BALAJADIA |
| Role | MANAGER |
| Phone | 4075804770 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STA MARIA MARIO | Agent | 10605 MOORE RD, GOTHA, FL, 34734 |
| Name | Role | Address |
|---|---|---|
| GUZMAN MINERVA | Manager | 2527 FOLIO WAY, KISSIMMEE, FL, 34741 |
| STA MARIA MARIO | Manager | 10605 MOORE RD, GOTHA, FL, 34734 |
| BALAJADIA JASON | Manager | 5552 OAKWORTH PLACE, SANFORD, FL, 32773 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-25 | 2463 MICHIGAN AVE, KISSIMMEE, FL 34744 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-25 | 2463 MICHIGAN AVE, KISSIMMEE, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-11 |
| Florida Limited Liability | 2021-08-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
