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BLAKE HOME CARE SERVICE LLC - Florida Company Profile

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Company Details

Entity Name: BLAKE HOME CARE SERVICE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Dec 2023 (2 years ago)
Document Number: L23000537278
FEI/EIN Number 93-4623003
Address: 3616 SOUTHWEST 13 COURT, FORT LAUDERDALE, FL, 33312, UN
Mail Address: 3616 SOUTHWEST 13 COURT, FORT LAUDERDALE, FL, 33312, UN
ZIP code: 33312
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
BLAKE MICHELLE Manager 3616 SOUTHWEST 13 COURT, FORT LAUDERDALE, FL, 33312
BLAKE MICHELLE Agent 3616 SOUTHWEST 13 COURT, FORT LAUDERDALE, FL, 33312

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
MICHELLE BLAKE
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P3413778
Trade Name:
BLAKE HOME CARE SERVICES

Unique Entity ID

Unique Entity ID:
TW6NW847DPM5
CAGE Code:
13B36
UEI Expiration Date:
2026-06-12

Business Information

Doing Business As:
BLAKE HOME CARE SERVICES
Division Name:
BLAKE HOME CARE SERVICE LLC
Activation Date:
2025-06-16
Initial Registration Date:
2025-04-28

National Provider Identifier

NPI Number:
1831954551
Certification Date:
2024-02-21

Authorized Person:

Name:
MS. MICHELLE BLAKE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-08
Florida Limited Liability 2023-12-04

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Date of last update: 03 Aug 2025

Sources: Florida Department of State