| Entity Name: | KEYSTONE HOME HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Apr 2005 (20 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 23 Dec 2013 (11 years ago) |
| Document Number: | P05000052397 |
| FEI/EIN Number | 51-0541030 |
| Address: | 9600 Koger Blvd N, Suite 225, Saint Petersburg, FL 33702 |
| Mail Address: | 9600 Koger Blvd N, Suite 225, Saint Petersburg, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609976950 | 2006-09-25 | 2023-01-12 | 9600 KOGER BLVD N STE 225, SAINT PETERSBURG, FL, 337022467, US | 9600 KOGER BLVD N STE 225, SAINT PETERSBURG, FL, 337022467, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-669-2777 |
| Fax | 7276692778 |
| Phone | +1 276-692-7777 |
Authorized person
| Name | RICHARD S GARBACIK |
| Role | CFO |
| Phone | 7276692777 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992497 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HOME HEALTH LIC. # |
| Number | 299992497 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Garbacik, Richard S, Jr. | Agent | 1471 Turkey Oak Run, DeLand, FL 32720 |
| Name | Role | Address |
|---|---|---|
| BURSTEIN, JASON | Director | 9600 Koger Blvd N, Suite 225 Saint Petersburg, FL 33702 |
| BURSTEIN, JACK | Director | 9600 Koger Blvd N, Suite 225 Saint Petersburg, FL 33702 |
| Name | Role | Address |
|---|---|---|
| BURSTEIN, JASON | President | 9600 Koger Blvd N, Suite 225 Saint Petersburg, FL 33702 |
| Name | Role | Address |
|---|---|---|
| BURSTEIN, JACK | Vice President | 9600 Koger Blvd N, Suite 225 Saint Petersburg, FL 33702 |
| Name | Role | Address |
|---|---|---|
| Garbacik, Richard S, Jr. | Chief Financial Officer | 9600 Koger Blvd N, Suite 225 Saint Petersburg, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-01 | Garbacik, Richard S, Jr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-01 | 1471 Turkey Oak Run, DeLand, FL 32720 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-15 | 9600 Koger Blvd N, Suite 225, Saint Petersburg, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-15 | 9600 Koger Blvd N, Suite 225, Saint Petersburg, FL 33702 | No data |
| NAME CHANGE AMENDMENT | 2013-12-23 | KEYSTONE HOME HEALTH, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-01 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-02-07 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 29 Jan 2025
Sources: Florida Department of State
