| Entity Name: | DEVOTED HOME CARE AND SUPPORT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2016 (9 years ago) |
| Document Number: | L16000046288 |
| FEI/EIN Number | 51-0535285 |
| Mail Address: | PO BOX 1929, APOPKA, FL, 32704, US |
| Address: | 1132 Osprey Way, APOPKA, FL, 32712, US |
| ZIP code: | 32712 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114552965 | 2020-03-11 | 2020-03-11 | PO BOX 1929, APOPKA, FL, 327041929, US | 1713 W MARSHALL LAKE DR, APOPKA, FL, 327031622, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-692-5471 |
Authorized person
| Name | TEQUESTA DUKES |
| Role | DIRECTOR |
| Phone | 4076925471 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 311Z00000X - Custodial Care Facility |
| Is Primary | No |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Taxonomy Code | 347C00000X - Private Vehicle |
| Is Primary | No |
| Taxonomy Code | 372500000X - Chore Provider |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 374U00000X - Home Health Aide |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010514400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUKES TEQUESTA | Agent | 1132 Osprey Way, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| DUKES TEQUESTA | President | 1132 OSPREY WAY, APOPKA, FL, 32712 |
| Name | Role | Address |
|---|---|---|
| THURMOND TADRA | Manager | PO BOX 1929, APOPKA, FL, 32704 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000128764 | STRIDES | ACTIVE | 2023-10-18 | 2028-12-31 | No data | P O BOX 1929, APOPKA, FL, 32704 |
| G23000029927 | LIMITLESS STRIVE | ACTIVE | 2023-03-06 | 2028-12-31 | No data | P O BOX 1929, APOPKA, FL, 32704 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-22 | 1132 Osprey Way, APOPKA, FL 32712 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-22 | 1132 Osprey Way, APOPKA, FL 32712 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-10 |
| Florida Limited Liability | 2016-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
