| Entity Name: | HARRIOTT HOME HEALTH SERVICES, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 15 Jun 2012 (Companies founded in June 2012) |
| Business ALEI: | 1075123 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621610 - Home Health Care Services |
| Business address: | 10 Love Ln, Hartford, CT, 06112-1614, United States |
| Mailing address: | 10 Love Ln, Hartford, CT, United States, 06112-1614 |
| ZIP code: | 06112 (Companies in Hartford, 06112) |
| County: | Hartford |
| Place of Formation: | CONNECTICUT |
| E-Mail: | Sasa@harriotthomehealth.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HARRIOTT HOME HEALTH SERVICES 401(K) PLAN | 2023 | 800851787 | 2024-10-07 | HARRIOTT HOME HEALTH SERVICES, LLC | 51 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-07 |
| Name of individual signing | KWASHEBA HARRIOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor’s telephone number | 8609049045 |
| Plan sponsor’s address | 140 WOODLAND STREET, HARTFORD, CT, 06105 |
Signature of
| Role | Plan administrator |
| Date | 2024-10-07 |
| Name of individual signing | KWASHEBA HARRIOTT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-06-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8609049045 |
| Plan sponsor’s address | 28 SUMMIT DRIVE, WINDSOR, CT, 06095 |
Signature of
| Role | Plan administrator |
| Date | 2024-07-29 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-06-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8609049045 |
| Plan sponsor’s address | 28 SUMMIT DRIVE, WINDSOR, CT, 06095 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-27 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-06-01 |
| Business code | 621610 |
| Sponsor’s telephone number | 8609049045 |
| Plan sponsor’s address | 28 SUMMIT DRIVE, WINDSOR, CT, 06095 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-19 |
| Name of individual signing | EDWARD ROJAS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| sasa harriott | Agent | 10 Love Ln, Hartford, CT, 06112-1614, United States | 10 Love Ln, Hartford, CT, 06112-1614, United States | +1 860-268-4512 | sasa@harriotthomehealth.com | 10 Love Ln, Hartford, CT, 06112-1614, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| SASA N. HARRIOTT | Officer | 10 Love Ln, Hartford, CT, 06112-1614, United States | 10 Love Ln, Hartford, CT, 06112-1614, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| NATP-CBO | Nurse Aide Training Program-Community Based Org | ACTIVE | CURRENT | 2024-03-26 | 2024-03-26 | 2026-03-26 |
| HCA.0001101 | HOMEMAKER COMPANION AGENCY | ACTIVE IN RENEWAL | CURRENT | 2016-02-11 | 2023-11-09 | 2024-10-31 |
| HHC.9915732 | Home Health Care | ACTIVE | CURRENT | 2013-09-12 | 2024-07-01 | 2027-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012193625 | 2024-04-26 | No data | Annual Report | Annual Report | No data |
| BF-0011733312 | 2023-05-24 | No data | Annual Report | Annual Report | No data |
| BF-0010536489 | 2022-11-19 | No data | Annual Report | Annual Report | No data |
| BF-0010500615 | 2022-03-07 | 2022-03-07 | Change of Business Address | Business Address Change | No data |
| BF-0008897228 | 2022-03-07 | No data | Annual Report | Annual Report | 2019 |
| BF-0008897229 | 2022-03-07 | No data | Annual Report | Annual Report | 2020 |
| BF-0009967257 | 2022-03-07 | No data | Annual Report | Annual Report | No data |
| BF-0010168651 | 2021-12-17 | No data | Annual Report | Annual Report | No data |
| 0005930609 | 2017-09-19 | No data | Annual Report | Annual Report | 2016 |
| 0005930607 | 2017-09-19 | No data | Annual Report | Annual Report | 2015 |
Date of last update: 04 Nov 2024
Sources: Connecticut's Official State Website
