| Entity Name: | WINNER HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Sep 2022 (2 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 06 Mar 2023 (2 years ago) |
| Document Number: | L22000386383 |
| FEI/EIN Number | 884005840 |
| Address: | 712 S Ocean Shore Blvd, Flagler Beach, FL, 32136, US |
| Mail Address: | 712 S Ocean Shore Blvd, Flagler Beach, FL, 32136, US |
| ZIP code: | 32136 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356063598 | 2022-09-14 | 2024-03-18 | 712 S OCEAN SHORE BLVD, FLAGLER BEACH, FL, 321363602, US | 712 S OCEAN SHORE BLVD, FLAGLER BEACH, FL, 321363602, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 386-871-1975 |
| Fax | 3868002929 |
Authorized person
| Name | TARA WINNER |
| Role | PRESIDENT / OWNER |
| Phone | 3866818193 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 119132700 |
| State | FL |
| Issuer | N/A |
| Number | FL197 |
| State | FL |
| Name | Role |
|---|---|
| WINNER HEALTHCARE LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Winner Tara | President | 712 South Oceanshore Boulevard, Flagler Beach, FL, 32136 |
| Name | Role | Address |
|---|---|---|
| Winner Shane | Vice President | 712 South Oceanshore Boulevard, Flagler Beach, FL, 32136 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000112976 | HOMEWELL CARE SERVICES | ACTIVE | 2022-09-09 | 2027-12-31 | No data | 18 SUNSET COVE, FLAGLER BEACH, FL, 32136 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-28 | WINNER HEALTHCARE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-13 | 712 S OCEANSHORE BLVD, FLAGLER BEACH, FL 32136 | No data |
| CHANGE OF MAILING ADDRESS | 2023-11-09 | 712 S Ocean Shore Blvd, Flagler Beach, FL 32136 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-08 | 712 S Ocean Shore Blvd, Flagler Beach, FL 32136 | No data |
| LC STMNT OF RA/RO CHG | 2023-03-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| Reg. Agent Change | 2023-11-13 |
| CORLCRACHG | 2023-03-06 |
| ANNUAL REPORT | 2023-01-19 |
| Florida Limited Liability | 2022-09-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
