| Entity Name: | COMMUNITY BASED THERAPY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Feb 2017 (8 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L17000028621 |
| FEI/EIN Number | 81-5390295 |
| Address: | 10142 ROSE ROAD, TALLAHASSEE, FL, 32311 |
| Mail Address: | 10142 ROSE ROAD, TALLAHASSEE, FL, 32311 |
| ZIP code: | 32311 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497261085 | 2017-12-19 | 2017-12-19 | 10142 ROSE RD, TALLAHASSEE, FL, 323119353, US | 10142 ROSE RD, TALLAHASSEE, FL, 323119353, US | |||||||||||||||||||
|
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| Phone | +1 813-713-1803 |
Authorized person
| Name | SHANDRA BROOKS-WEST |
| Role | OWNER |
| Phone | 8137131803 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020447600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROOKS-WEST SHANDRA EMRS. | Agent | 10142 ROSE ROAD, TALLAHASSEE, FL, 32311 |
| Name | Role | Address |
|---|---|---|
| BROOKS-WEST SHANDRA EMRS. | Chief Executive Officer | 10142 ROSE ROAD, TALLAHASSEE, FL, 32311 |
| Name | Role | Address |
|---|---|---|
| WEST PERRY LIII | Authorized Person | 10142 ROSE RD, TALLAHASSEE, FL, 32311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-26 |
| Florida Limited Liability | 2017-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
