| Entity Name: | GOD BLESS HOME HEALTH CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Oct 2024 (4 months ago) |
| Document Number: | P24000062661 |
| Address: | 950 S PINE ISLAND RD, SUITE 150, PLANTATION, FL, 33324, UN |
| Mail Address: | 950 S PINE ISLAND RD, SUITE 150, PLANTATION, FL, 33324, UN |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184858193 | 2009-05-05 | 2024-10-08 | 6941 NW 15TH ST, PLANTATION, FL, 333135320, US | 950 S PINE ISLAND RD, SUITE 150, UNIT 1019, PLANTATION, FL, 33324, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-348-8705 |
| Phone | +1 954-342-9824 |
Authorized person
| Name | ASHLEY BROWN |
| Role | PRESIDENT |
| Phone | 9543488705 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 228483 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 685527098 |
| State | FL |
| Issuer | MEDICAID |
| Number | 112751100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 685527096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROWN ASHLEY | Agent | 950 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| BROWN ASHLEY | President | 950 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| ROSENSTEEL SHANNON | Vice President | 950 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| ROSENSTEEL STEVEN | Chairman | 950 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| ROSENSTEEL CHINYERE | Chairman | 950 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| ROSENSTEEL KRYSTAL | Director | 950 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-10-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
