| Entity Name: | DPT GROUP SUPPORT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 May 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L15000093434 |
| FEI/EIN Number | 474096471 |
| Address: | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL, 34748, US |
| Mail Address: | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295100527 | 2015-12-11 | 2015-12-17 | 2641 SHIRLEYS WAY APT 204, LEESBURG, FL, 347483040, US | 2641 SHIRLEYS WAY APT 204, LEESBURG, FL, 347483040, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 352-552-7971 |
Authorized person
| Name | MARTINA WRIGHT |
| Role | OWNER |
| Phone | 3525527971 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014968000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WRIGHT MARTINA N | Agent | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL, 34748 |
| Name | Role | Address |
|---|---|---|
| WRIGHT MARTINA N | Owner | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL, 34748 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-23 | WRIGHT, MARTINA N | No data |
| REINSTATEMENT | 2022-03-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-01 | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL 34748 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-11-02 | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2017-11-02 | 3423 SOUTHWINDS COVE WAY, LEESBURG, FL 34748 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2022-03-23 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-08-31 |
| Florida Limited Liability | 2015-05-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
