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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

NPI Number:
1144059015
Certification Date:
2024-07-30

Authorized Person:

Name:
ANDREA RILEY
Role:
COO AND COOWNER
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
No
Selected Taxonomy:
315D00000X - Inpatient Hospice
Is Primary:
No
Selected Taxonomy:
385H00000X - Respite Care
Is Primary:
No
Selected Taxonomy:
253Z00000X - In Home Supportive Care Agency
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Fictitious Name Registration Filed 2025-03-12 Fictitious Name Registration For Elite Care Home LLC.
Annual Report LLC Filed 2025-03-12 Annual Report For Elite Care Home LLC.
Formation Form Filed 2024-07-30 Formation For Elite Care Home LLC.

Date of last update: 14 Apr 2025

Sources: Mississippi Secretary of State