| Entity Name: | ACHIEVABLE ABILITIES SUPPORT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Nov 2018 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Oct 2019 (5 years ago) |
| Document Number: | L18000268546 |
| FEI/EIN Number | 83-2531061 |
| Address: | 8130 66th Street North, Suite 8, Pinellas Park, FL, 33781, US |
| Mail Address: | 8130 66th Street North, Suite 8, Pinellas Park, FL, 33781, US |
| ZIP code: | 33781 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093469736 | 2022-02-11 | 2022-02-11 | 6727 1ST AVE S STE 209, SAINT PETERSBURG, FL, 337071341, US | 6727 1ST AVE S STE 209, SAINT PETERSBURG, FL, 337071341, US | |||||||||||||||||||
|
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| Phone | +1 727-204-7911 |
Authorized person
| Name | MR. NICHOLAS ELLIS |
| Role | OWNER |
| Phone | 7272047911 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101553100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRISTAL BEN | Agent | 4905 W. LAUREL STREET, TAMPA, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| ELLIS NICHOLAS | President | 8130 66th Street North, Pinellas Park, FL, 33781 |
| Name | Role | Address |
|---|---|---|
| CHRISTIANSON JOSEPH | Vice President | 8130 66th Street North, Pinellas Park, FL, 33781 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 8130 66th Street North, Suite 8, Pinellas Park, FL 33781 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 8130 66th Street North, Suite 8, Pinellas Park, FL 33781 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-29 | 4905 W. LAUREL STREET, SUITE 200, TAMPA, FL 33607 | No data |
| REINSTATEMENT | 2019-10-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-04 | CRISTAL, BEN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| REINSTATEMENT | 2019-10-04 |
| Florida Limited Liability | 2018-11-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
