| Entity Name: | KASCEL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Jan 2016 (9 years ago) |
| Document Number: | L16000012825 |
| FEI/EIN Number | 81-1507336 |
| Address: | 10 WATKINS PLACE, PALM COAST, FL, 32164 |
| Mail Address: | 10 WATKINS PLACE, PALM COAST, FL, 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629421391 | 2016-07-19 | 2017-01-12 | 10 WATKINS PL, PALM COAST, FL, 321647643, US | 10 WATKINS PL, PALM COAST, FL, 321647643, US | |||||||||||||||||||||||||||||||
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| Phone | +1 386-585-5955 |
Authorized person
| Name | JENNIFER MICHELLE BAKER |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 3865855955 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | L16000012825 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| License Number | OT14766 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI PERSONAL NUMBER |
| Number | 1871679233 |
| State | TN |
| Name | Role | Address |
|---|---|---|
| BAKER JENNIFER M | Agent | 10 WATKINS PLACE, PALM COAST, FL, 32164 |
| Name | Role | Address |
|---|---|---|
| BAKER JENNIFER M | Manager | 10 WATKINS PLACE, PALM COAST, FL, 32164 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-05 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-01-31 |
| Florida Limited Liability | 2016-01-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
