| Entity Name: | KYNGDOM SERVICES,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Oct 2010 (14 years ago) |
| Document Number: | L10000112468 |
| FEI/EIN Number | 800656685 |
| Mail Address: | 750 South Orange Blossom Trail, Orlando, FL, 32805, US |
| Address: | 750 South Orange Blossom Trail #269, ORLANDO, FL, 32805, US |
| ZIP code: | 32805 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790103174 | 2014-04-02 | 2014-10-03 | 750 S ORANGE BLOSSOM TRL, 227, ORLANDO, FL, 328053118, US | 750 S ORANGE BLOSSOM TRL, 227, ORLANDO, FL, 328053118, US | |||||||||||||||||||||||||
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| Phone | +1 407-674-8988 |
| Fax | 4076748992 |
Authorized person
| Name | MICHELLE RIVERS |
| Role | OWNER |
| Phone | 4076748988 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003575300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIVERS MICHELLE E | Agent | 750 South Orange Blossom Trail, ORLANDO, FL, 32805 |
| Name | Role | Address |
|---|---|---|
| RIVERS MICHELLE E | Managing Member | 750 South Orange Blossom Trl, ORLANDO, FL, 32805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-18 | 750 South Orange Blossom Trail #269, ORLANDO, FL 32805 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-18 | 750 South Orange Blossom Trail #269, ORLANDO, FL 32805 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-18 | 750 South Orange Blossom Trail, 269, ORLANDO, FL 32805 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-03 |
| ANNUAL REPORT | 2021-03-27 |
| ANNUAL REPORT | 2020-05-17 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
