| Entity Name: | MY NURSE HOME HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jun 2024 (8 months ago) |
| Document Number: | L24000262497 |
| Address: | 145 LEELON RD, LAKELAND, FL, 33809 |
| Mail Address: | 145 LEELON RD, LAKELAND, FL, 33809 |
| ZIP code: | 33809 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679316574 | 2024-06-17 | 2024-06-17 | 145 LEELON RD, LAKELAND, FL, 338094198, US | 145 LEELON RD, LAKELAND, FL, 338094198, US | |||||||||||||
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| Phone | +1 863-604-0449 |
Authorized person
| Name | FRANK LUNA |
| Role | CEO |
| Phone | 8636040449 |
Taxonomy
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUNA OMAR | Agent | 5855 ODOM RD, LAKELAND, FL, 33809 |
| Name | Role | Address |
|---|---|---|
| LUNA FRANK | Chief Executive Officer | 145 LEELON RD, LAKELAND, FL, 33809 |
| Name | Role | Address |
|---|---|---|
| LUNA CONCEPCION | Chief Financial Officer | 738 2ND ST, POLK CITY, FL, 33868 |
| Name | Role | Address |
|---|---|---|
| LUNA OMAR | Manager | 5855 ODOM RD, LAKELAND, FL, 33809 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
