| Entity Name: | CJA SUPPORT CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Nov 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 21 Oct 2016 (8 years ago) |
| Document Number: | L15000191588 |
| FEI/EIN Number | 47-5557592 |
| Address: | 809 E. OAK ST., KISSIMMEE, FL, 34744, US |
| Mail Address: | 809 E. OAK ST., KISSIMMEE, FL, 34744, US |
| ZIP code: | 34744 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972271641 | 2021-08-30 | 2021-08-30 | 809 E OAK ST STE 105, KISSIMMEE, FL, 347445834, US | 809 E OAK ST STE 105, KISSIMMEE, FL, 347445834, US | |||||||||||||||||||||
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| Phone | +1 407-483-9520 |
| Fax | 4074839551 |
Authorized person
| Name | SERGIO J APONTE |
| Role | OWNER |
| Phone | 4074839520 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002189500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| APONTE SERGIO J | Agent | 809 E. OAK ST., KISSIMMEE, FL, 34744 |
| Name | Role | Address |
|---|---|---|
| APONTE SERGIO J | Manager | 809 E. OAK ST. SUITE 105, KISSIMMEE, FL, 34744 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-12-01 | APONTE, SERGIO J | No data |
| REINSTATEMENT | 2016-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-11-18 | 809 E. OAK ST., SUITE 105, KISSIMMEE, FL 34744 | No data |
| CHANGE OF MAILING ADDRESS | 2015-11-18 | 809 E. OAK ST., SUITE 105, KISSIMMEE, FL 34744 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-11 |
| AMENDED ANNUAL REPORT | 2021-07-09 |
| ANNUAL REPORT | 2021-03-12 |
| AMENDED ANNUAL REPORT | 2020-12-01 |
| ANNUAL REPORT | 2020-06-02 |
| AMENDED ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2019-01-23 |
| ANNUAL REPORT | 2018-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
