| Entity Name: | A TRIANGLE CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Jan 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L15000006928 |
| FEI/EIN Number | 46-5324708 |
| Address: | 7708 RIFFLE LANE, ORLANDO, FL, 32818 |
| Mail Address: | 7708 RIFFLE LANE, ORLANDO, FL, 32818 |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003202029 | 2015-04-07 | 2015-04-07 | 7708 RIFFLE LN, ORLANDO, FL, 328181200, US | 7708 RIFFLE LN, ORLANDO, FL, 328181200, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-202-6418 |
| Fax | 9542120227 |
Authorized person
| Name | EVA AUGUSTINE |
| Role | CEO |
| Phone | 4072026418 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
| Taxonomy Code | 385HR2055X - Child Mental Illness Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0101352900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AUGUSTINE EVA | Agent | 7708 RIFFLE LANE, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| Augustine Eva | Manager | 7708 RIFFLE LANE, ORLANDO, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-26 | AUGUSTINE, EVA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2017-09-26 |
| Florida Limited Liability | 2015-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
