| Entity Name: | A PLUS ALLIANCE HOME CARE AGENCY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Jan 2016 (9 years ago) |
| Document Number: | L16000018171 |
| FEI/EIN Number | 81-1288420 |
| Address: | 1503 SOUTH US HWY 301, SUITE 13, Tampa, FL 33619 |
| Mail Address: | 5470 E. BUSCH BLVD., SUITE 425, TEMPLE TERRACE, FL 33617 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962883371 | 2015-06-11 | 2020-04-12 | 5470 E BUSCH BLVD SUITE 425, TEMPLE TERRACE, FL, 33617, US | 1503 SOUTH HWY 301 SUITE 13, TAMPA, FL, 33619, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-222-5317 |
| Fax | 8137621333 |
Authorized person
| Name | LATASHA WALTERS JACKSON |
| Role | EXECUTIVE DIRECTOR |
| Phone | 7272225317 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 233771 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014399800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALTERS-JACKSON, LATASHA M | Agent | 5470 E. BUSCH BLVD., SUITE 425, TEMPLE TERRACE, FL 33617 |
| Name | Role | Address |
|---|---|---|
| WALTERS JACKSON, LATASHA M | Manager | 5470 E. BUSCH BLVD, TEMPLE TERRACE, FL 33617 |
| Jackson, Marlon, Dr. | Manager | 5470 E. BUSCH BLVD., SUITE 425 TEMPLE TERRACE, FL 33617 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000054706 | A PLUS SOLUTIONS GROUP | ACTIVE | 2020-05-18 | 2025-12-31 | No data | 5470 E BUSCH BLVD SUITE 425, TEMPLE TERRACE, FL, 33617 |
| G17000091359 | D & L LIVESCAN BACKGROUND SCREENING | EXPIRED | 2017-08-18 | 2022-12-31 | No data | 5470 E BUSCH BLVD SUITE 425, TEMPLE TERRACE, FL, 33617 |
| G16000018193 | A PLUS ALLIANCE RECRUITMENT & STAFFING | EXPIRED | 2016-02-19 | 2021-12-31 | No data | 5470 E, BUSCH BLVD #425, TEMPLE TERRACE, FL, 33617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-22 | 1503 SOUTH US HWY 301, SUITE 13, Tampa, FL 33619 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-01-24 |
| ANNUAL REPORT | 2018-02-22 |
| ANNUAL REPORT | 2017-03-08 |
| Florida Limited Liability | 2016-01-26 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
