| Entity Name: | BAUER CHILD DEVELOPMENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Aug 2006 (18 years ago) |
| Document Number: | L06000083643 |
| FEI/EIN Number | 562609438 |
| Address: | 175 SW Knox Street, LAKE CITY, FL, 32025, US |
| Mail Address: | 295 NW COMMONS LOOP, SUITE 115-256, LAKE CITY, FL, 32055, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720227358 | 2009-02-04 | 2009-02-04 | 295 NW COMMONS LOOP, SUITE 115-256, LAKE CITY, FL, 320557709, US | 225 SW STAFFORD CT, LAKE CITY, FL, 320241144, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-867-3706 |
| Fax | 3867524462 |
Authorized person
| Name | SUSAN A BAUER |
| Role | OWNER |
| Phone | 3868673706 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | SA6822 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUECROSS/BLUESHIELD OF FLORIDA |
| Number | S2727 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAUER SUSAN | Agent | 295 NW COMMONS LOOP, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| BAUER SUSAN | Managing Member | 295 NW COMMONS LOOP, 115-256, LAKE CITY, FL, 32055 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000143625 | BAUER SPEECH THERAPY | ACTIVE | 2021-10-25 | 2026-12-31 | No data | 295 NW COMMONS LOOP, SUITE 115-256, LAKE CITY, FL, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-03 | 175 SW Knox Street, LAKE CITY, FL 32025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-01 | 295 NW COMMONS LOOP, SUITE 115-256, LAKE CITY, FL 32055 | No data |
| CHANGE OF MAILING ADDRESS | 2008-05-11 | 175 SW Knox Street, LAKE CITY, FL 32025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-01-15 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-15 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
