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KEYSTONE HOME HEALTH D4 LLC - Florida Company Profile

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Company Details

Entity Name: KEYSTONE HOME HEALTH D4 LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 17 Mar 2022 (3 years ago)
Document Number: L22000134919
FEI/EIN Number 881281390
Address: 6620 SOUTHPOINT DR S, JACKSONVILLE, FL, 32216, US
Mail Address: 6620 SOUTHPOINT DR S, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BURSTEIN JASON G Manager 6620 SOUTHPOINT DR S, JACKSONVILLE, FL, 32216
Garbacik Richard SJr. Chief Financial Officer 6620 SOUTHPOINT DR S, JACKSONVILLE, FL, 32216
GARBACIK RICHARD SJR Agent 1471 TURKEY OAK RUN, DELAND, FL, 32720

National Provider Identifier

NPI Number:
1346988581
Certification Date:
2024-11-15

Authorized Person:

Name:
RICHARD GARBACIK JR.
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
7272556338

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-06-15 6620 SOUTHPOINT DR S, #501, JACKSONVILLE, FL 32216 -
CHANGE OF MAILING ADDRESS 2022-06-15 6620 SOUTHPOINT DR S, #501, JACKSONVILLE, FL 32216 -

Documents

Name Date
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-02-01
Florida Limited Liability 2022-03-17

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Date of last update: 03 Aug 2025

Sources: Florida Department of State