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REVIVE HOME HEALTHCARE LLC - Florida Company Profile

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Company Details

Entity Name: REVIVE HOME HEALTHCARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Nov 2024 (10 months ago)
Document Number: L24000471267
FEI/EIN Number 331867778
Address: 9015 Town Center Parkway Suite 135, Lakewood Ranch, FL, 34202, US
Mail Address: 9015 Town Center Parkway Suite 135, Lakewood Ranch, FL, 34202, US
ZIP code: 34202
City: Bradenton
County: Manatee
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PATEL MANISHKUMAR Manager 5478 Silverside Pine Ct, Lakewood Ranch, FL, 34211
PATEL MAYANKKUMAR B Manager 5114 ADEGA WAY, BRADENTON, FL, 34211
PATEL MAYANKKUMAR B Agent 5114 ADEGA WAY, BRADENTON, FL, 34211

National Provider Identifier

NPI Number:
1235953548
Certification Date:
2025-06-04

Authorized Person:

Name:
MAYANKKUMAR BALADEVBHAI PATEL
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
9412638074

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-17 9015 Town Center Parkway Suite 135, Lakewood Ranch, FL 31202 -

Documents

Name Date
Florida Limited Liability 2024-11-06

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Date of last update: 03 Aug 2025

Sources: Florida Department of State