| Entity Name: | FAMILY HOME CARE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Apr 2008 (17 years ago) |
| Document Number: | P08000038402 |
| FEI/EIN Number | 262439589 |
| Address: | 17913 ARBOR HAVEN DRIVE, TAMPA, FL, 33647 |
| Mail Address: | 17913 ARBOR HAVEN DRIVE, TAMPA, FL, 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407155245 | 2011-03-18 | 2011-03-18 | 17913 ARBOR HAVEN DR, TAMPA, FL, 336472918, US | 17913 ARBOR HAVEN DR, TAMPA, FL, 336472918, US | |||||||||||||||||||||||||
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| Phone | +1 813-390-3786 |
| Fax | 8134648023 |
Authorized person
| Name | MRS. AMY L. ECKHARDT |
| Role | OWNER |
| Phone | 8133903786 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 230732 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002204700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ECKHARDT AMY L | Agent | 17913 ARBOR HAVEN DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| ECKHARDT AMY L | President | 17913 ARBOR HAVEN DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| Eckhardt Steven | Director | 17913 ARBOR HAVEN DRIVE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2009-05-04 | ECKHARDT, AMY L | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-05-04 | 17913 ARBOR HAVEN DRIVE, TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-05-18 |
| ANNUAL REPORT | 2019-06-12 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
