| Entity Name: | GIFTED HANDS WITH A HEART INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 May 2019 (6 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P19000040374 |
| FEI/EIN Number | 83-4666716 |
| Address: | 111 AVE R NE, 101, WINTER HAVEN, FL, 33881, US |
| Mail Address: | 1989 15TH CT NW, WINTER HAVEN, FL, 33881, US |
| ZIP code: | 33881 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144853227 | 2020-02-18 | 2020-02-18 | 111 AVENUE R NE STE 101, WINTER HAVEN, FL, 338812472, US | 111 AVENUE R NE STE 101, WINTER HAVEN, FL, 338812472, US | |||||||||||||||||||||||
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| Phone | +1 863-604-5560 |
| Fax | 8632998134 |
| Phone | +1 844-244-1044 |
Authorized person
| Name | MS. PATRICE LATOYA HOWARD |
| Role | CEO |
| Phone | 8442441044 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104396400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HOWARD PATRICE L | Agent | 1989 15TH CT NW, WINTER HAVEN, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| HOWARD PATRICE L | Chief Executive Officer | 1989 15TH CT NW, WINTER HAVEN, FL, 33881 |
| Name | Role | Address |
|---|---|---|
| HOWARD RUNNETTE | Treasurer | 502 AVE G SE, WINTER HAVEN, FL, 33880 |
| Name | Role | Address |
|---|---|---|
| PARRISH JOHNNIE LSR | Secretary | 1989 15TH CT NW, WINTER HAVEN, FL, 33881 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| AMENDMENT | 2020-04-22 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2020-04-22 |
| ANNUAL REPORT | 2020-02-20 |
| Domestic Profit | 2019-05-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
