Entity Name: | CTC'S HEART OF CARING, INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 09 Jul 2018 (7 years ago) |
Document Number: | P18000059909 |
FEI/EIN Number | 83-1218949 |
Address: | 2995 EAGLE NEST VIEW DRIVE, WINTER HAVEN, FL, 33881 |
Mail Address: | 2995 EAGLE NEST VIEW DRIVE, WINTER HAVEN, FL, 33881 |
ZIP code: | 33881 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114534476 | 2020-09-29 | 2020-09-29 | 2995 EAGLE NEST VIEW DRIVE, WINTER HAVEN, FL, 33881, US | 2995 EAGLE NEST VIEW DRIVE, WINTER HAVEN, FL, 33881, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 863-514-7501 |
Authorized person
Name | MISS CHRISANA LATAI SCOTT |
Role | OWNER |
Phone | 8635147501 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
Is Primary | No |
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | No |
Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
Is Primary | No |
Taxonomy Code | 385H00000X - Respite Care |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 101533400 |
State | FL |
Name | Role | Address |
---|---|---|
SCOTT CHRISANA L | Agent | 2995 EAGLE NEST VIEW DRIVE, WINTER HAVEN, FL, 33881 |
Name | Role | Address |
---|---|---|
SCOTT CHRISANA L | President | 2995 EAGLE NEST VIEW DRIVE, WINTER HAVEN, FL, 33881 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-03 |
ANNUAL REPORT | 2023-02-02 |
ANNUAL REPORT | 2022-02-02 |
ANNUAL REPORT | 2021-03-12 |
ANNUAL REPORT | 2020-03-26 |
ANNUAL REPORT | 2019-04-27 |
Domestic Profit | 2018-07-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State