| Entity Name: | THOMAS SUPPORTS SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Feb 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Dec 2021 (3 years ago) |
| Document Number: | L16000038301 |
| FEI/EIN Number | 81-1528185 |
| Address: | 15 E. MAGNOLIA AVE, STE 3B, EUSTIS, FL, 32726, US |
| Mail Address: | 15 E. MAGNOLIA AVE, EUSTIS, FL, 32726, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053043638 | 2022-06-30 | 2022-06-30 | 15 E MAGNOLIA AVE STE 3B, EUSTIS, FL, 327263472, US | 15 E MAGNOLIA AVE STE 3B, EUSTIS, FL, 327263472, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-617-0777 |
| Fax | 3522511911 |
Authorized person
| Name | INGRID THOMAS |
| Role | OWNER |
| Phone | 3526170777 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 30212380 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| THOMAS INGRID | Agent | 15 E. MAGNOLIA AVE, EUSTIS, FL, 32726 |
| Name | Role | Address |
|---|---|---|
| Thomas Ingrid | President | 4916 Cape Hatteras Drive, Clermont, FL, 34714 |
| Name | Role | Address |
|---|---|---|
| SMITH MIRANDA | Manager | 2105 SUANEE AVE, EUSTIS, FL, 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-15 | 15 E. MAGNOLIA AVE, STE 3B, EUSTIS, FL 32726 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-15 | 15 E. MAGNOLIA AVE, STE 3B, EUSTIS, FL 32726 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-15 | 15 E. MAGNOLIA AVE, STE 3B, EUSTIS, FL 32726 | No data |
| LC AMENDMENT | 2021-12-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-21 | THOMAS, INGRID | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-02-15 |
| LC Amendment | 2021-12-21 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-06 |
| ANNUAL REPORT | 2019-09-24 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-05-01 |
| Florida Limited Liability | 2016-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
