| Entity Name: | FAMILY FIRST HOME CARE OF FLORIDA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2022 (3 years ago) |
| Document Number: | L22000036645 |
| FEI/EIN Number | 88-0546354 |
| Address: | 430 Oakridge Blvd, Unit #3, Daytona Beach, FL, 32118, US |
| Mail Address: | 735 Dunlawton Ave, DAYTONA BEACH, FL, 32118, US |
| ZIP code: | 32118 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376274498 | 2022-06-20 | 2022-06-20 | 430 OAKRIDGE BLVD STE 1, DAYTONA BEACH, FL, 321186917, US | 430 OAKRIDGE BLVD STE 3, DAYTONA BEACH, FL, 321186917, US | |||||||||||||||||||
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| Phone | +1 888-808-0488 |
| Fax | 3868724232 |
| Phone | +1 386-281-3041 |
| Fax | 3862813042 |
Authorized person
| Name | DAVID HEISE |
| Role | MEDICAL DIRECTOR |
| Phone | 3862351489 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Heise David Dr. | Agent | 2702 John Anderson Dr, Ormond Beach, FL, 32176 |
| Name | Role | Address |
|---|---|---|
| HEISE DAVID | Manager | 2702 John Anderson Dr, Ormond Beach, FL, 32176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-04 | 430 Oakridge Blvd, Unit #3, Daytona Beach, FL 32118 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-04 | 430 Oakridge Blvd, Unit #3, Daytona Beach, FL 32118 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-04 | 2702 John Anderson Dr, Ormond Beach, FL 32176 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-28 | Heise, David, Dr. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| AMENDED ANNUAL REPORT | 2023-04-28 |
| AMENDED ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2023-02-15 |
| Florida Limited Liability | 2022-01-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
