| Entity Name: | SUGARS SUPPORTIVE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 May 2008 (17 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 25 Dec 2009 (15 years ago) |
| Document Number: | L08000047885 |
| FEI/EIN Number | 141967533 |
| Address: | 33849 Overton Drive `, Leesburg, FL, 34788, US |
| Mail Address: | PO BOX 895515, LEESBURG, FL, 34789, US |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871979575 | 2015-08-04 | 2015-08-04 | 2204 CITRUS BLVD, SUITE 10B, LEESBURG, FL, 347483019, US | 2204 CITRUS BLVD, SUITE 10B, LEESBURG, FL, 347483019, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 352-435-4600 |
| Fax | 3524354605 |
Authorized person
| Name | MRS. LORRAINE ADELE CALDWELL |
| Role | OWNER |
| Phone | 3526170400 |
Taxonomy
| Taxonomy Code | 172V00000X - Community Health Worker |
| License Number | 001917900 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 690259696 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001917900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Sugar LORRAINE A | Agent | 39848 CR 452, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| Sugar LORRAINE A | Manager | 39848 CR 452, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-08 | 33849 Overton Drive `, Leesburg, FL 34788 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-08-03 | Sugar, LORRAINE A | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 33849 Overton Drive `, Leesburg, FL 34788 | No data |
| CANCEL ADM DISS/REV | 2009-12-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-12-25 | 39848 CR 452, LEESBURG, FL 34788 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-02-22 |
| AMENDED ANNUAL REPORT | 2022-08-03 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
