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HARMONY HAVEN CARE HOME LLC

Company Details

Entity Name: HARMONY HAVEN CARE HOME LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Apr 2024 (10 months ago)
Document Number: L24000188571
Address: 1550 MUIR CIRCLE, CLERMONT, FL 34711
Mail Address: 788 MONTGOMERY AVENUE, SUITE 200, OCOEE, FL 34761
ZIP code: 34711
County: Lake
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902633035 2024-09-13 2024-09-13 788 MONTGOMERY AVE STE 200, OCOEE, FL, 347613102, US 1550 MUIR CIR, CLERMONT, FL, 347116545, US

Contacts

Phone +1 352-717-4136

Authorized person

Name GENESIS MARTINEZ
Role CEO/FOUNDER
Phone 3527174136

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary Yes
Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary No

Agent

Name Role Address
JOHNSON, KRISTEN Agent 788 MONTGOMERY AVENUE, SUITE 200, OCOEE, FL 34761

Authorized Representative

Name Role Address
MARTINEZ, GENESIS Authorized Representative 18800 GROVES DR., GROVELAND, FL 34736

Documents

Name Date
Florida Limited Liability 2024-04-22

Date of last update: 08 Feb 2025

Sources: Florida Department of State