| Entity Name: | KEYSTONE HOME HEALTH D4 LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 17 Mar 2022 (3 years ago) |
| Document Number: | L22000134919 |
| FEI/EIN Number | 88-1281390 |
| Address: | 6620 SOUTHPOINT DR S, #501, JACKSONVILLE, FL 32216 |
| Mail Address: | 6620 SOUTHPOINT DR S, #501, JACKSONVILLE, FL 32216 |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346988581 | 2022-05-26 | 2022-05-26 | 6620 SOUTHPOINT DR S STE 501, JACKSONVILLE, FL, 322160958, US | 6620 SOUTHPOINT DR S STE 501, JACKSONVILLE, FL, 322160958, US | |||||||||||||||
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| Phone | +1 727-669-2777 |
| Fax | 7272556338 |
Authorized person
| Name | RICHARD GARBACIK JR. |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 7276692777 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARBACIK, RICHARD S, JR | Agent | 1471 TURKEY OAK RUN, DELAND, FL 32720 |
| Name | Role | Address |
|---|---|---|
| BURSTEIN, JASON G | Manager | 6620 SOUTHPOINT DR S, #501 JACKSONVILLE, FL 32216 |
| Name | Role | Address |
|---|---|---|
| Garbacik, Richard S, Jr. | Chief Financial Officer | 6620 SOUTHPOINT DR S, #501 JACKSONVILLE, FL 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-15 | 6620 SOUTHPOINT DR S, #501, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-15 | 6620 SOUTHPOINT DR S, #501, JACKSONVILLE, FL 32216 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-02-01 |
| Florida Limited Liability | 2022-03-17 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
