| Entity Name: | DARLEEN UNIQUE PROVIDER SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jul 2016 (9 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 25 Jul 2016 (9 years ago) |
| Document Number: | L16000131106 |
| FEI/EIN Number | 81-3227624 |
| Address: | 1680 SW BAYSHORE BLVD, PORT ST LUCIE, FL, 34984, US |
| Mail Address: | PO BOX 882012, PORT ST LUCIE, FL, 34988, US |
| ZIP code: | 34984 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710330550 | 2016-07-17 | 2021-08-04 | 681 SW FREDRICA ST, PORT SAINT LUCIE, FL, 349831875, US | 681 SW FREDRICA ST, PORT SAINT LUCIE, FL, 349831875, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-655-9682 |
Authorized person
| Name | DARLENE DESSOURCES |
| Role | PROVIDER |
| Phone | 9546559682 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DESSOURCES DARLENE | Agent | 1680 SW BAYSHORE BLVD, PORT ST LUCIE, FL, 34984 |
| Name | Role | Address |
|---|---|---|
| DESSOURCES DARLENE | Authorized Member | PO BOX 882012, PORT ST LUCIE, FL, 34988 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-12-11 | 1680 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34984 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-19 | 1680 SW BAYSHORE BLVD, 112, PORT ST LUCIE, FL 34984 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-30 | 1680 SW BAYSHORE BLVD, PORT ST LUCIE, FL 34984 | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-07-25 | DARLEEN UNIQUE PROVIDER SERVICES, LLC | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-12-11 |
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-02-08 |
| AMENDED ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-02-03 |
| ANNUAL REPORT | 2019-05-29 |
| ANNUAL REPORT | 2018-03-13 |
| ANNUAL REPORT | 2017-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
