Entity Name: | HAPPYFEET PERSONAL CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 08 Mar 2022 (3 years ago) |
Document Number: | L22000117083 |
FEI/EIN Number | 88-0727891 |
Address: | 1106 J THOMASVILLE RD, TALLAHASSEE, FL 32303 |
Mail Address: | 1106 J THOMASVILLE RD, TALLAHASSEE, FL 32303 |
ZIP code: | 32303 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1972218881 | 2023-01-16 | 2023-01-16 | 1106 THOMASVILLE RD STE J, TALLAHASSEE, FL, 323036276, US | 1106 THOMASVILLE RD STE J, TALLAHASSEE, FL, 323036276, US | |||||||||||||||||||||
|
Phone | +1 850-273-5888 |
Fax | 8508075060 |
Authorized person
Name | BRANDI YVONNE THOMPSON |
Role | ADMINISTRATOR |
Phone | 8502785888 |
Taxonomy
Taxonomy Code | 374U00000X - Home Health Aide |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 104625 |
State | FL |
Name | Role | Address |
---|---|---|
THOMPSON, BRANDI Y | Agent | 1106 J THOMASVILLE ROAD, TALLAHASSEE, FL 32303 |
Name | Role | Address |
---|---|---|
THOMPSON, BRANDI Y | Manager | 1106 J THOMASVILLE ROAD, TALLAHASSEE, FL 32303 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-29 |
ANNUAL REPORT | 2023-04-29 |
Florida Limited Liability | 2022-03-08 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State