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Elite Care Home LLC.
Company Details
Name: |
Elite Care Home LLC. |
Jurisdiction: |
MISSISSIPPI |
Business Type: |
Limited Liability Company |
Status: |
Good Standing
|
Effective Date: |
30 Jul 2024 (10 months ago)
|
Business ID: |
1451623 |
ZIP code: |
39507
|
County: |
Harrison |
State of Incorporation: |
MISSISSIPPI |
Principal Office Address: |
1110 Cowan Road, 1110 Cowan Road, Ste B PMB 2024Gulfport, MS 39507 |
Fictitious names: |
Haven Home Care
|
Agent
Name |
Role |
Address |
Andrea Riley
|
Agent
|
1520 29th ave Suite 16, Gulfport, MS 39501
|
Manager
Name |
Role |
Address |
Misty R Stevenson
|
Manager
|
14177 Lumpkin Road, Gulfport, MS 39503
|
Andrea Riley
|
Manager
|
11437 Pinehurst Pl. W, Gulfport, MS 39503
|
National Provider Identifier
Certification Date:
2024-07-30
Authorized Person:
Taxonomy:
Selected Taxonomy:
251E00000X - Home Health Agency
Selected Taxonomy:
310400000X - Assisted Living Facility
Selected Taxonomy:
315D00000X - Inpatient Hospice
Selected Taxonomy:
385H00000X - Respite Care
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Contacts:
Date of last update: 14 Apr 2025
Sources:
Mississippi Secretary of State