Entity Name: | CONTINUED HEALTH SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 23 Apr 2018 (7 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 26 Oct 2020 (4 years ago) |
Document Number: | L18000101766 |
FEI/EIN Number | 82-5407866 |
Address: | 8724 N. Edison Ave, TAMPA, FL, 33604, US |
Mail Address: | 8724 N. Edison Ave, TAMPA, FL, 33604, US |
ZIP code: | 33604 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568070035 | 2020-07-21 | 2020-07-21 | 8724 N EDISON AVE, TAMPA, FL, 336041215, US | 8724 N EDISON AVE, TAMPA, FL, 336041215, US | |||||||||||||||||||||||||||
|
Phone | +1 813-279-0984 |
Authorized person
Name | REGINALD JOHNSON |
Role | CEO |
Phone | 8132790984 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | No |
Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 104144000 |
State | FL |
Name | Role | Address |
---|---|---|
JOHNSON REGINALD LSR. | Agent | 1701 W ATKINSON ST, TAMPA, FL, 33604 |
Name | Role | Address |
---|---|---|
JOHNSON REGINALD LSR. | Manager | 1701 W ATKINSON ST, TAMPA, FL, 33604 |
Johnson Gina M | Manager | 8724 N. Edison Ave, TAMPA, FL, 33604 |
DECENA RAYBEL | Manager | 9315 N. ASHLEY ST., TAMPA, FL, 33612 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2020-10-26 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-03-23 | 8724 N. Edison Ave, TAMPA, FL 33604 | No data |
CHANGE OF MAILING ADDRESS | 2020-03-23 | 8724 N. Edison Ave, TAMPA, FL 33604 | No data |
LC NAME CHANGE | 2019-01-18 | CONTINUED HEALTH SERVICES LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-28 |
ANNUAL REPORT | 2023-04-26 |
ANNUAL REPORT | 2022-04-12 |
ANNUAL REPORT | 2021-04-26 |
LC Amendment | 2020-10-26 |
ANNUAL REPORT | 2020-03-23 |
ANNUAL REPORT | 2019-03-11 |
LC Name Change | 2019-01-18 |
Florida Limited Liability | 2018-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State