| Entity Name: | BREVARD HOME CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Aug 2024 (6 months ago) |
| Document Number: | L24000345953 |
| FEI/EIN Number | 33-2253662 |
| Address: | 3155 Columbia Blvd, Suite 1032, Titusville, FL 32780 |
| Mail Address: | 3155 Columbia Blvd, Suite 1032, Titusville, FL 32780 |
| ZIP code: | 32780 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316382385 | 2013-05-06 | 2013-05-06 | 1185 TALON WAY, MELBOURNE, FL, 329343257, US | 1600 SARNO RD, SUITE # 119J, MELBOURNE, FL, 329354938, US | |||||||||||||
|
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| Phone | +1 321-948-8555 |
Authorized person
| Name | MR. VENKAT PUSKUR |
| Role | OWNER |
| Phone | 3219488555 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NELSON, DENA MARIE | Agent | 3155 COLUMBIA BLVD, 1032, TITUSBILLE, FL 32780 |
| Name | Role | Address |
|---|---|---|
| NELSON, DENA MARIE | Manager | 18365 NW 45TH AVE ROAD, CITRA, FL 32113 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-05 | 3155 Columbia Blvd, Suite 1032, Titusville, FL 32780 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-05 | 3155 Columbia Blvd, Suite 1032, Titusville, FL 32780 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-09 | 18365 NW 45th Ave Road, Citra, FL 32113 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-09 | 18365 NW 45th Ave Road, Citra, FL 32113 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-07 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
