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KINDEST CARE SERVICES LLC

Company Details

Entity Name: KINDEST CARE SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Dec 2018 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 10 Apr 2019 (6 years ago)
Document Number: L19000002408
FEI/EIN Number 83-2991226
Address: 3110 1ST AVE N, STE 2M, SAINT PETERSBURG, FL 33712
Mail Address: 3110 1ST AVE N, STE 2M, SAINT PETERSBURG, FL 33712
ZIP code: 33712
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295273464 2017-02-07 2021-03-16 3110 1ST AVE N STE 2M, SAINT PETERSBURG, FL, 337138637, US 3110 1ST AVE N STE 2M, SAINT PETERSBURG, FL, 337138637, US

Contacts

Phone +1 727-637-7152
Fax 7273141415
Fax 7273141505

Authorized person

Name MALCOLM TURNER
Role CEO
Phone 7273141415

Taxonomy

Taxonomy Code 251E00000X - Home Health Agency
Is Primary No
Taxonomy Code 251J00000X - Nursing Care Agency
Is Primary No
Taxonomy Code 253Z00000X - In Home Supportive Care Agency
Is Primary No
Taxonomy Code 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Is Primary Yes
Taxonomy Code 347C00000X - Private Vehicle
Is Primary No
Taxonomy Code 372500000X - Chore Provider
Is Primary No
Taxonomy Code 372600000X - Adult Companion
Is Primary No
Taxonomy Code 376J00000X - Homemaker
Is Primary No
Taxonomy Code 385H00000X - Respite Care
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 015226900
State FL

Agent

Name Role Address
MAULTSBY, DELTOSHA S Agent 3110 1st Avenue North, STE 2M, SAINT PETERSBURG, FL 33713

Chief Executive Officer

Name Role Address
TURNER, MALCOLM S Chief Executive Officer 3110 1ST AVE N STE 2M, SAINT PETERSBURG, FL 33713

Vice President

Name Role Address
MAULTSBY, DELTOSHA Vice President 3110 1st Ave N, STE 2M SAINT PETERSBURG, FL 33713

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-01 3110 1ST AVE N, STE 2M, SAINT PETERSBURG, FL 33712 No data
CHANGE OF MAILING ADDRESS 2025-01-01 3110 1ST AVE N, STE 2M, SAINT PETERSBURG, FL 33712 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-30 3110 1st Avenue North, STE 2M, SAINT PETERSBURG, FL 33713 No data
CHANGE OF PRINCIPAL ADDRESS 2024-01-01 3110 1ST AVE N, STE 2M, SAINT PETERSBURG, FL 33712 No data
CHANGE OF MAILING ADDRESS 2024-01-01 3110 1ST AVE N, STE 2M, SAINT PETERSBURG, FL 33712 No data
REGISTERED AGENT NAME CHANGED 2020-06-29 MAULTSBY, DELTOSHA S No data
LC AMENDMENT 2019-04-10 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-09-24
ANNUAL REPORT 2020-06-29
LC Amendment 2019-04-10
Florida Limited Liability 2018-12-28

Date of last update: 17 Jan 2025

Sources: Florida Department of State