| Entity Name: | HAVEN NURSE REGISTRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jun 2023 (2 years ago) |
| Document Number: | L23000276756 |
| FEI/EIN Number | 93-1954696 |
| Address: | 3900 WOODLAKE BLVD, 200-20, GREENACRES, FL, 33463, US |
| Mail Address: | 3900 WOODLAKE BLVD, 200-20, GREENACRES, FL, 33463, US |
| ZIP code: | 33463 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235906744 | 2023-12-05 | 2023-12-05 | 3900 WOODLAKE BLVD STE 200-20, GREENACRES, FL, 334633044, US | 3900 WOODLAKE BLVD STE 200-20, GREENACRES, FL, 334633044, US | |||||||||||||||||||||
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| Phone | +1 561-508-4644 |
Authorized person
| Name | MRS. SHERICA MOODIE |
| Role | ADMINISTRATOR |
| Phone | 5619328904 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251F00000X - Home Infusion Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOODIE SHERICA | Agent | 4706 LUCERNE LAKES BLVD, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| MOODIE SHERICA | Authorized Member | 4706 LUCERNE LAKES BLVD APT E104, GREENACRES, FL, 33467 |
| MOODIE SHAUN | Authorized Member | 4706 LUCERNE LAKES BLVD APT E104, GREENACRES, FL, 33467 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| Florida Limited Liability | 2023-06-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
