| Entity Name: | OPEN ARMS & HEART SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jan 2017 (8 years ago) |
| Document Number: | P17000007544 |
| FEI/EIN Number | 814980821 |
| Address: | 1920 VERANO DRIVE, HAINES CIYY, FL, 33844, US |
| Mail Address: | 1190 BLARNEY STREET, MINNEOLA, FL, 34715, US |
| ZIP code: | 33844 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | OPEN ARMS & HEART SERVICES INC., MINNESOTA | acad7f3d-6f83-ef11-9088-00155d32b947 | MINNESOTA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215699525 | 2021-10-13 | 2024-06-26 | 1190 BLARNEY ST, MINNEOLA, FL, 347157634, US | 1920 VERANO DR STE 105, HAINES CITY, FL, 338448585, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 321-217-2409 |
| Fax | 8552571340 |
| Phone | +1 321-430-8194 |
Authorized person
| Name | MRS. SHANTANA D JOHNSON |
| Role | PRESIDENT-OWNER |
| Phone | 3214308194 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2055X - Child Mental Illness Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022449300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 108545900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON SHANTANA D | Agent | 1190 BLARNEY STREET, MINNEOLA, FL, 34715 |
| Name | Role | Address |
|---|---|---|
| Johnson Shantana DMRS. | President | 1190 Blarney Street, Minneola, FL, 34715 |
| Name | Role | Address |
|---|---|---|
| JOHNSON LESLIE AJR | Vice President | 1190 Blarney Street, Minneola, FL, 34715 |
| Name | Role | Address |
|---|---|---|
| Johnson Lezlie L | Treasurer | 1190 Blarney Street, Minneola, FL, 34715 |
| Name | Role | Address |
|---|---|---|
| JOHNSON KYARELL GMRS. | Officer | 1190 Blarney Street, Minneola, FL, 34715 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-09 | 1920 VERANO DRIVE, SUITE 105, HAINES CIYY, FL 33844 | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-09 | 1920 VERANO DRIVE, SUITE 105, HAINES CIYY, FL 33844 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-10-09 | 1190 BLARNEY STREET, MINNEOLA, FL 34715 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-02-14 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-02-22 |
| Domestic Profit | 2017-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
