| Entity Name: | LOVE THY NEIGHBOR HOME HEALTH CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jul 2016 (9 years ago) |
| Document Number: | P16000060134 |
| FEI/EIN Number | 81-3256950 |
| Address: | 2620 Industrial Street, LEESBURG, FL, 34748, US |
| Mail Address: | 2106 Butler St, Leesburg, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053764316 | 2016-07-21 | 2024-04-29 | 2106 BUTLER ST, LEESBURG, FL, 347485502, US | 2620 INDUSTRIAL ST, LEESBURG, FL, 347483611, US | |||||||||||||||||||||||||||||
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| Phone | +1 352-409-0919 |
| Phone | +1 352-787-0499 |
| Fax | 3525612064 |
Authorized person
| Name | WANDRETTA L DUDLEY |
| Role | OWNER |
| Phone | 3524090919 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 121578900 |
| State | FL |
| Issuer | MEDICAID |
| Number | 108379100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUDLEY WANDRETTA L | Agent | 2106 BUTLER ST, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| DUDLEY WANDRETTA L | President | 2106 Butler St, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| Shelton Dia'Sheema K | Vice President | 2106 Butler St, Leesburg, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-02 | 2620 Industrial Street, LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-23 | 2620 Industrial Street, LEESBURG, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-23 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-11 |
| Domestic Profit | 2016-07-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
