| Entity Name: | LEAP HEALTH CARE SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Jan 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Dec 2019 (5 years ago) |
| Document Number: | L18000009981 |
| FEI/EIN Number | 82-3967047 |
| Address: | 4680 CASPIAN WAY, DAVIE, FL, 33314, US |
| Mail Address: | 4680 CASPIAN WAY, DAVIE, FL, 33314, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003441387 | 2020-03-07 | 2020-03-07 | 4680 CASPIAN WAY, DAVIE, FL, 333144474, US | 4680 CASPIAN WAY, DAVIE, FL, 333144474, US | |||||||||||||||||||
|
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| Phone | +1 954-274-6464 |
Authorized person
| Name | KIESHA-LUE CLARKE |
| Role | OWNER |
| Phone | 9542746464 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100835000 |
| State | FL |
| Name | Role |
|---|---|
| LEAP HEALTH CARE SOLUTIONS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Clarke Kieshalue | President | 4680 CASPIAN WAY, DAVIE, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| Clarke Beverley | Vice President | 4680 CASPIAN WAY, DAVIE, FL, 33314 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000079576 | ADVANTAGE CARE LLC | ACTIVE | 2022-07-04 | 2027-12-31 | No data | 4680 CASPIAN WAY, DAVIE, FL, 33314 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-30 | 4680 CASPIAN WAY, DAVIE, FL 33314 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-30 | 4680 CASPIAN WAY, DAVIE, FL 33314 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-30 | 4680 CASPIAN WAY, DAVIE, FL 33314 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-12-02 | LEAP HEALTH CARE SOLUTIONS | No data |
| REINSTATEMENT | 2019-12-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| LC NAME CHANGE | 2018-12-06 | LEAP HEALTH CARE SOLUTIONS LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-28 |
| REINSTATEMENT | 2019-12-02 |
| LC Name Change | 2018-12-06 |
| Florida Limited Liability | 2018-01-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
