Entity Name: | SECOND BEGINNINGS SUPPORT SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Sep 2010 (14 years ago) |
Document Number: | L10000092968 |
FEI/EIN Number | 274905418 |
Address: | 101 CENTURY 21 DRIVE STE #205, JACKSONVILLE, FL, 32216, US |
Mail Address: | 101 CENTURY 21 DRIVE STE #205, JACKSONVILLE, FL, 32216, US |
ZIP code: | 32216 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558668467 | 2011-02-12 | 2012-03-27 | 6712 ATLANTIC BLVD, JACKSONVILLE, FL, 322118730, US | 6712 ATLANTIC BLVD, JACKSONVILLE, FL, 322118730, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 904-438-2558 |
Fax | 9044382578 |
Authorized person
Name | YVONNE DUNCAN |
Role | EXECUTIVE DIRECTOR |
Phone | 9044382577 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 142632096 |
State | FL |
Issuer | MEDICAID |
Number | 142632098 |
State | FL |
Issuer | MEDICAID |
Number | 003016600 |
State | FL |
Name | Role | Address |
---|---|---|
DUNCAN ERVIN | Agent | 101 Century 21 Dr STE 205, Jacksonville, FL, 32211 |
Name | Role | Address |
---|---|---|
DUNCAN YVONNE R | Managing Member | 101 CENTURY 21 DRIVE STE #205, JACKSONVILLE, FL, 32216 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2020-04-21 | 101 Century 21 Dr STE 205, Jacksonville, FL 32211 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2015-04-29 | 101 CENTURY 21 DRIVE STE #205, JACKSONVILLE, FL 32216 | No data |
CHANGE OF MAILING ADDRESS | 2015-04-29 | 101 CENTURY 21 DRIVE STE #205, JACKSONVILLE, FL 32216 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-03-28 |
ANNUAL REPORT | 2022-04-07 |
ANNUAL REPORT | 2021-04-05 |
ANNUAL REPORT | 2020-04-21 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-04-29 |
ANNUAL REPORT | 2017-04-26 |
ANNUAL REPORT | 2016-04-28 |
ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State