| Entity Name: | THIS IS YOUR HOME SERVICES LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Mar 2010 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2016 (8 years ago) |
| Document Number: | L10000026033 |
| FEI/EIN Number | 271656643 |
| Address: | 124 North Florida Avenue, Suite # 700, Inverness, FL, 34453, US |
| Mail Address: | PO BOX 640819, BEVERLY HILLS, FL, 34464 |
| ZIP code: | 34453 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215226857 | 2011-04-05 | 2011-04-05 | PO BOX 640819, BEVERLY HILLS, FL, 344643054, US | 2581 W APRICOT DR, BEVERLY HILLS, FL, 344653054, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 352-257-3079 |
| Fax | 3525278222 |
Authorized person
| Name | MR. JOSE A AREVALO |
| Role | PRESIDENT |
| Phone | 3522573079 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 003061800 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003061800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AREVALO JOSE A | Agent | 124 North Florida Avenue, Inverness, FL, 34453 |
| Name | Role | Address |
|---|---|---|
| Colon Ortiz Heriberto | Manager | 124 North Florida Avenue, Beverly Hills, FL, 34464 |
| Name | Role | Address |
|---|---|---|
| Arevalo Jose A | Owne | 124 North Florida Avenue, Inverness, FL, 34453 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 124 North Florida Avenue, Suite # 700, Inverness, FL 34453 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 124 North Florida Avenue, Suite# 700, Inverness, FL 34453 | No data |
| REINSTATEMENT | 2016-11-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-08 | AREVALO, JOSE ASR | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-06 |
| REINSTATEMENT | 2016-11-08 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
