| Entity Name: | HEALTHY SERVICES OF TAMPA INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jul 2013 (12 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 Jan 2020 (5 years ago) |
| Document Number: | P13000063311 |
| FEI/EIN Number | 46-3327391 |
| Address: | 2502 W. Diana St, TAMPA, FL, 33614-4202, US |
| Mail Address: | 2502 W. Diana St, TAMPA, FL, 33614-4202, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407283724 | 2013-10-01 | 2023-03-17 | 2502 W DIANA ST, TAMPA, FL, 336144202, US | 2502 W DIANA ST STE 204, TAMPA, FL, 336144202, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 813-932-9922 |
| Fax | 8139329911 |
Authorized person
| Name | CARLOS J HERRERA |
| Role | PRESIDENT |
| Phone | 8136791523 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010644300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HERRERA CARLOS J | Agent | 2502 W. Diana St., TAMPA, FL, 336144202 |
| Name | Role | Address |
|---|---|---|
| HERRERA CARLOS J | President | 2919 W HENRY AVE, TAMPA, FL, 33614 |
| Name | Role | Address |
|---|---|---|
| ZAMORA MAYTE | Vice President | 9201 SW 35 TH STREET, MIAMI, FL, 33165 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-01-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-29 | 2502 W. Diana St, TAMPA, FL 33614-4202 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-29 | 2502 W. Diana St, TAMPA, FL 33614-4202 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-29 | 2502 W. Diana St., TAMPA, FL 33614-4202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-06-16 |
| Amendment | 2020-01-24 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-03-17 |
| ANNUAL REPORT | 2016-03-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
