| Entity Name: | AUTISM SPECIALTY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Apr 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 10 Nov 2016 (8 years ago) |
| Document Number: | L12000054692 |
| FEI/EIN Number | 45-5136850 |
| Address: | 144 NW 37th Street, Miami, FL 33127 |
| Mail Address: | P.O. Box 1398, Loxahatchee, FL 33470 |
| ZIP code: | 33127 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154060689 | 2022-06-02 | 2022-06-27 | PO BOX 12618, MIAMI, FL, 331012618, US | 144 NW 37TH ST, MIAMI, FL, 331273111, US | |||||||||||||||||||||||||
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| Phone | +1 305-767-1924 |
| Fax | 3056735917 |
Authorized person
| Name | RAQUEL RONACHER |
| Role | CFO |
| Phone | 7865536663 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016704400 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUTISM SPECIALTY GROUP | 2022 | 455136850 | 2023-10-13 | AUTISM SPECIALTY GROUP, LLC | 25 | |||||||||||||||||||||||
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| AUTISM SPECIALTY GROUP | 2021 | 455136850 | 2022-12-22 | AUTISM SPECIALTY GROUP, LLC | 37 | |||||||||||||||||||||||
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| AUTISM SPECIALTY GROUP | 2020 | 455136850 | 2021-10-09 | AUTISM SPECIALTY GROUP, LLC | 23 | |||||||||||||||||||||||
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| AUTISM SPECIALTY GROUP | 2019 | 455136850 | 2020-10-27 | AUTISM SPECIALTY GROUP, LLC | 21 | |||||||||||||||||||||||
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| AUTISM SPECIALTY GROUP | 2018 | 455136850 | 2019-06-17 | AUTISM SPECIALTY GROUP LLC | 19 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2019-06-17 |
| Name of individual signing | RAQUEL RONACHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-06-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 7865536663 |
| Plan sponsor’s address | 429 LENOX AVE, MIAMI BEACH, FL, 33139 |
Signature of
| Role | Plan administrator |
| Date | 2018-06-21 |
| Name of individual signing | RAQUEL RONACHER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| Ronacher, Christoph | Member | P.O. Box 1398, Loxahatchee, FL 33470 |
| Name | Role | Address |
|---|---|---|
| Ronacher, Raquel | Chief Financial Officer | P.O. Box 1398, Loxahatchee, FL 33470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-22 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-24 | 144 NW 37th Street, Miami, FL 33127 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 144 NW 37th Street, Miami, FL 33127 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-21 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| LC STMNT OF RA/RO CHG | 2016-11-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-10 | REGISTERED AGENTS INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-22 |
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-01-08 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-03-16 |
| CORLCRACHG | 2016-11-10 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3872888509 | 2021-02-24 | 0455 | PPS | 4040 NE 2nd Ave Ste 413, Miami, FL, 33137-3506 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9954487000 | 2020-04-09 | 0455 | PPP | 4040 NE 2nd Ave Suite 413, MIAMI, FL, 33137-3506 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
