| Entity Name: | HEAVEN SENT ELDERLY CARE SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 12 Mar 2015 (10 years ago) |
| Document Number: | P15000023990 |
| FEI/EIN Number | 45-0534034 |
| Address: | 3646 Shamrock St. West, TALLAHASSEE, FL, 32309, US |
| Mail Address: | P.O. BOX 37421, TALLAHASSEE, FL, 32315, US |
| ZIP code: | 32309 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215361134 | 2013-08-27 | 2024-01-24 | 3646 SHAMROCK W, TALLAHASSEE, FL, 323092642, US | 3646 SHAMROCK W, TALLAHASSEE, FL, 323092642, US | |||||||||||||||||||||
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| Phone | +1 850-999-6527 |
| Fax | 8502162733 |
Authorized person
| Name | ALFREDA HARRIS |
| Role | OWNER/OPERATOR |
| Phone | 8505086724 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 006333000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARRIS ALFREDA | Agent | 3843 Wiggington Road, TALLAHASSEE, FL, 32303 |
| Name | Role | Address |
|---|---|---|
| HARRIS ALFREDA | President | 3843 Wiggington Road, TALLAHASSEE, FL, 32303 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000126554 | HEAVEN SENT ELDERLY CARE SERVICES INC. | ACTIVE | 2022-10-10 | 2027-12-31 | No data | 3646 SHAMROCK ST W, STE 1, TALLAHASSEE, FL, 32309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-21 | 3646 Shamrock St. West, TALLAHASSEE, FL 32309 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 3843 Wiggington Road, TALLAHASSEE, FL 32303 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-12 | 3646 Shamrock St. West, TALLAHASSEE, FL 32309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-22 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-05-01 |
| Domestic Profit | 2015-03-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
