| Entity Name: | CAREFIRST SUPPORT SERVICES, LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2019 (6 years ago) |
| Document Number: | L19000100031 |
| FEI/EIN Number | 83-2887136 |
| Address: | 6722 Arlington Expressway #2025, JACKSONVILLE, FL, 32211, US |
| Mail Address: | P.O. BOX 37984, JACKSONVILLE, FL, 32236 |
| ZIP code: | 32211 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457910937 | 2019-06-10 | 2021-07-27 | PO BOX 37984, JACKSONVILLE, FL, 322367984, US | 6722 ARLINGTON EXPY, JACKSONVILLE, FL, 322117234, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-554-8372 |
Authorized person
| Name | TAMMY TOOMBS |
| Role | OWNER |
| Phone | 6787891302 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104487900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TOOMBS TAMMY | Agent | 6722 Arlington Expressway #2025, JACKSONVILLE, FL, 32211 |
| Name | Role | Address |
|---|---|---|
| TOOMBS TAMMY | Manager | 6722 Arlington Expressway #2025, JACKSONVILLE, FL, 32211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-14 | 6722 Arlington Expressway #2025, JACKSONVILLE, FL 32211 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-14 | 6722 Arlington Expressway #2025, JACKSONVILLE, FL 32211 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-15 |
| ANNUAL REPORT | 2020-04-14 |
| Florida Limited Liability | 2019-04-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
