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Heart to Heart Provision Healthcare, LLC

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Company Details

Name: Heart to Heart Provision Healthcare, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Feb 2022 (3 years ago)
Business ID: 1323002
State of Incorporation: MISSISSIPPI
Principal Office Address: 5089 Apison Villas CircleOoltewah, TN 37363

Agent

Name Role Address
Trinity C Brown Agent 833 Fortenberry Drive, Monticello, MS 39654

Organizer

Name Role Address
Robert Brown Jr Organizer 833 Fortenberry Drive, Monticello, MS 39654
Trinity C Brown Organizer 833 Fortenberry Drive, Monticello, MS 39654

Manager

Name Role Address
Trinity C Brown Manager 5089 Apison Villas Circle, Ooltewah, TN 39654

National Provider Identifier

NPI Number:
1851048003
Certification Date:
2022-04-20

Authorized Person:

Name:
TRINITY C BROWN
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
164W00000X - Licensed Practical Nurse
Is Primary:
No
Selected Taxonomy:
374U00000X - Home Health Aide
Is Primary:
No
Selected Taxonomy:
163WH0200X - Home Health Registered Nurse
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-12 Annual Report For Heart to Heart Provision Healthcare, LLC
Annual Report LLC Filed 2024-02-16 Annual Report For Heart to Heart Provision Healthcare, LLC
Annual Report LLC Filed 2023-04-04 Annual Report For Heart to Heart Provision Healthcare, LLC
Formation Form Filed 2022-02-04 Formation For Heart to Heart Provision Healthcare, LLC

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Date of last update: 28 May 2025

Sources: Company Profile on Mississippi Secretary of State Website