| Entity Name: | A HEALTH HAVEN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | L23000450941 |
| FEI/EIN Number | 93-3728839 |
| Address: | 13575 58TH ST N, 200, CLEARWATER, FL, 33760 |
| Mail Address: | 13575 58TH ST N, 200, CLEARWATER, FL, 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316727605 | 2023-10-03 | 2023-11-15 | 13575 58TH ST N STE 200, CLEARWATER, FL, 337603739, US | 13575 58TH ST N STE 200, CLEARWATER, FL, 337603739, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-215-2454 |
Authorized person
| Name | SAMIRA BLACKWOOD |
| Role | CEO |
| Phone | 8132152454 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BLACKWOOD SAMIRA | Agent | 13575 58TH ST N, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| BLACKWOOD SAMIRA | Manager | 13575 58TH ST N SUITE 200, CLEARWATER, FL, 33760 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-09-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
