| Entity Name: | HEART TO HEART PROFESSIONAL CARE INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jun 2007 (18 years ago) |
| Document Number: | P07000070071 |
| FEI/EIN Number | 260357293 |
| Address: | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL, 34952, US |
| Mail Address: | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL, 34952, US |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578097739 | 2017-04-14 | 2017-04-14 | 1930 NE 1ST TER, POMPANO BEACH, FL, 330605006, US | 1930 NE 1ST TER, POMPANO BEACH, FL, 330605006, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 754-264-5264 |
Authorized person
| Name | MS. JESSIE M. PAYNE |
| Role | OWNER/OPERATOR |
| Phone | 7542645264 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 232828 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1093107302 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAYNE JESSIE M | Agent | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| PAYNE JESSIE M | President | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL, 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000031505 | HEART TO HEART MOBILE PHLEBOTOMY | ACTIVE | 2020-03-11 | 2025-12-31 | No data | 1930 NE 1ST TERRACE, POMPANO BCH, FL, 33060 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-01-26 | PAYNE, JESSIE M | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 1531 SE NORTH BLACKWELL DRIVE, PORT ST. LUCIE, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-10 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-09 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
