| Entity Name: | BBI NOVACARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 May 2022 (3 years ago) |
| Document Number: | L22000244479 |
| FEI/EIN Number | 88-2647741 |
| Address: | 1503 US HWY 301 SOUTH, SUITE 93, TAMPA, FL, 33619 |
| Mail Address: | 1503 US HWY 301 SOUTH, SUITE 93, TAMPA, FL, 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184341919 | 2022-10-24 | 2022-10-24 | 1503 S US HIGHWAY 301 STE 93, TAMPA, FL, 336195126, US | 1503 S US HIGHWAY 301 STE 93, TAMPA, FL, 336195126, US | |||||||||||||||||||
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| Phone | +1 813-419-0975 |
Authorized person
| Name | DR. AGNES UBANI |
| Role | LAB DIRECTOR |
| Phone | 8134190975 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10D2263528 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WASHINGTON BOOKER TJR | Agent | 6701 NORTH 31ST STREET, TAMPA, FL, 33610 |
| Name | Role | Address |
|---|---|---|
| WASHINGTON BOOKER TJR | Manager | 6701 NORTH 31ST STREET, TAMPA, FL, 33610 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-25 |
| Florida Limited Liability | 2022-05-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
