| Entity Name: | GRANTED ANGELS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Oct 2017 (7 years ago) |
| Document Number: | P17000081566 |
| FEI/EIN Number | 82-3027694 |
| Address: | 2860 HWY 71 N STE B, MARIANNA, FL, 32446, US |
| Mail Address: | 6783 Rocky Ln, Grand Ridge, FL, 32442, US |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922501394 | 2018-03-13 | 2022-05-23 | 6783 ROCKY LN, GRAND RIDGE, FL, 324424219, US | 2860 HIGHWAY 71 STE B, MARIANNA, FL, 324461893, US | |||||||||||||||||||||||
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| Phone | +1 850-209-4238 |
| Fax | 8505922604 |
| Fax | 8889798559 |
Authorized person
| Name | MRS. BRANDY GRANT |
| Role | CEO |
| Phone | 8502094238 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 023322000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRANT BRANDY S | Agent | 6783 ROCKY LANE, GRAND RIDGE, FL, 32442 |
| Name | Role | Address |
|---|---|---|
| GRANT BRANDY S | President | 6783 ROCKY LANE, GRAND RIDGE, FL, 32442 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-05-02 | 2860 HWY 71 N STE B, MARIANNA, FL 32446 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-01 | 2860 HWY 71 N STE B, MARIANNA, FL 32446 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| Domestic Profit | 2017-10-10 |
| Off/Dir Resignation | 2017-10-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
