| Entity Name: | ABOVE AND BEYOND HABILITATION SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Apr 2004 (21 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L04000026832 |
| FEI/EIN Number | 161703981 |
| Address: | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL, 32308 |
| Mail Address: | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL, 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1871812859 | 2010-05-29 | 2010-05-29 | 1931 WELBY WAY, SUITE 3, TALLAHASSEE, FL, 323084462, US | 1931 WELBY WAY, SUITE 3, TALLAHASSEE, FL, 323084462, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-386-9232 |
| Fax | 8505625257 |
Authorized person
| Name | VALEISHA M. ELLIS |
| Role | DIRECTOR |
| Phone | 8503869232 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| License Number | 688118196 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| License Number | 688118198 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| License Number | 688118196 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3747A0650X - Attendant Care Provider |
| License Number | 688118196 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| License Number | 688118196 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 374U00000X - Home Health Aide |
| License Number | 688118196 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| License Number | 688118101 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 688118196 |
| State | FL |
| Issuer | MEDICAID |
| Number | 688118101 |
| State | FL |
| Issuer | MEDICAID |
| Number | 688118198 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ELLIS KELVIN R | Agent | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| ELLIS KELVIN R | Managing Member | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| LC AMENDMENT | 2011-10-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-10-13 | ELLIS, KELVIN R | No data |
| LC AMENDMENT | 2011-03-17 | No data | No data |
| LC AMENDMENT | 2011-03-07 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-10-15 | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2010-10-15 | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL 32308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-30 | 1931 WELBY WAY, STE 5, TALLAHASSEE, FL 32308 | No data |
| AMENDMENT | 2004-09-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-05-01 |
| LC Amendment | 2011-10-13 |
| ANNUAL REPORT | 2011-03-17 |
| LC Amendment | 2011-03-17 |
| LC Amendment | 2011-03-07 |
| ADDRESS CHANGE | 2010-10-15 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-06-15 |
| ANNUAL REPORT | 2008-03-12 |
| ANNUAL REPORT | 2007-07-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
