| Entity Name: | ANGELS UNIQUE, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Dec 2010 (14 years ago) |
| Document Number: | L00000013381 |
| FEI/EIN Number | 593680091 |
| Address: | 13520 17TH STREET, DADE CITY, FL, 33525 |
| Mail Address: | 13520 17TH STREET, DADE CITY, FL, 33525 |
| ZIP code: | 33525 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083917934 | 2010-12-15 | 2010-12-15 | 13520 17TH ST, DADE CITY, FL, 335255211, US | 13520 17TH ST, DADE CITY, FL, 335255211, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-523-1111 |
| Fax | 3525231122 |
Authorized person
| Name | TERRY W PERGERSON |
| Role | DIRECTOR |
| Phone | 3525231111 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 230477 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001856800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 680166801 |
| State | FL |
| Issuer | MEDICAID |
| Number | 680166896 |
| State | FL |
| Issuer | MEDICAID |
| Number | 680166898 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PERGERSON TERRY W | Agent | 13520 17TH STREET, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| PERGERSON TERRY W | Director | 37738 BOUGAINVILLEA AVENUE, DADE CITY, FL, 33525 |
| Name | Role | Address |
|---|---|---|
| PERGERSON KAREN W | AD | 37738 BOUGAINVILLEA AVENUE, DADE CITY, FL, 33525 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2010-12-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2003-04-28 | 13520 17TH STREET, DADE CITY, FL 33525 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2003-04-28 | 13520 17TH STREET, DADE CITY, FL 33525 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-07 | 13520 17TH STREET, DADE CITY, FL 33525 | No data |
| REINSTATEMENT | 2001-10-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-02 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-27 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-02-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
