| Entity Name: | THE LIGHT HOME CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 May 2023 (2 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 25 Aug 2023 (a year ago) |
| Document Number: | L23000229428 |
| FEI/EIN Number | 65-0548827 |
| Mail Address: | 2151 45th Street, Suite 308, West Palm Beach, FL 33407 |
| Address: | 7270 NW 12TH ST, TOWER II SUITE 800, MIAMI, FL 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578592614 | 2006-07-01 | 2024-08-29 | 7270 NW 12TH ST, TOWER II, SUITE 800, MIAMI, FL, 331267018, US | 7270 NW 12TH ST, TOWER II, SUITE 800, MIAMI, FL, 331267018, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-221-6494 |
| Fax | 3052215257 |
Authorized person
| Name | MR. VAHAN H. GUREGHIAN |
| Role | MANAGER |
| Phone | 9547464264 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | HHA21834096 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 117145200 |
| State | FL |
| Issuer | MEDICARE |
| Number | 10-9054 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| GUREGHIAN, VAHAN H | Manager | 2151 45th Street, Suite 308 West Palm Beach, FL 33407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-23 | 7270 NW 12TH ST, TOWER II SUITE 800, MIAMI, FL 33126 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-10-04 | 7270 NW 12TH ST, TOWER II SUITE 800, MIAMI, FL 33126 | No data |
| LC DISSOCIATION MEM | 2023-08-25 | No data | No data |
| CONVERSION | 2023-05-09 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P95000000942. CONVERSION NUMBER 100000239801 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2024-03-25 |
| CORLCDSMEM | 2023-08-25 |
| Florida Limited Liability | 2023-05-09 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
