| Entity Name: | BRANDON HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Oct 2022 (2 years ago) |
| Document Number: | L22000430109 |
| FEI/EIN Number | 92-0682283 |
| Address: | 18647 LAKE IOLA RD, DADE CITY, FL 33523 |
| Mail Address: | 18647 LAKE IOLA RD, DADE CITY, FL 33523 |
| ZIP code: | 33523 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356117659 | 2023-11-28 | 2023-11-28 | 18647 LAKE LOLA RD, DADE CITY, FL, 33523, US | 1755 S KINGS AVE, BRANDON, FL, 33511, US | |||||||||||||||||||||||
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| Phone | +1 813-682-1775 |
| Fax | 8133433804 |
| Phone | +1 813-684-1972 |
Authorized person
| Name | MR. DAVE HEINZE |
| Role | PRESIDENT & OWNER |
| Phone | 8136821775 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 299992190 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HEINZE, DAVE | Agent | 18647 LAKE IOLA RD, DADE CITY, FL 33523 |
| Name | Role | Address |
|---|---|---|
| HEINZE, DAVE | Manager | 18647 LAKE IOLA RD, DADE CITY, FL 33523 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000002815 | HILLSBOROUGH COUNTY HOME CARE | ACTIVE | 2025-01-07 | 2030-12-31 | No data | 18647 LAKE IOLA RD, DADE CITY, FL, 33523 |
| G22000133253 | HOME INSTEAD | ACTIVE | 2022-10-25 | 2027-12-31 | No data | 18647 LAKE IOLA RD, DADE CITY, FL, 33523 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| AMENDED ANNUAL REPORT | 2024-09-09 |
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-03-22 |
| Florida Limited Liability | 2022-10-05 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
