| Entity Name: | HOPE SPEECH THERAPY SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Sep 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2020 (4 years ago) |
| Document Number: | L19000234276 |
| FEI/EIN Number | 84-3154520 |
| Address: | 11214 E DR. MARTIN LUTHER KING, JR. BLVD, Seffner, FL, 33584, US |
| Mail Address: | 11214 E DR. MARTIN LUTHER KING, JR. BLVD, Seffner, FL, 33584, US |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659989416 | 2020-07-17 | 2020-07-17 | 615 DIAMOND RIDGE RD, SEFFNER, FL, 335845047, US | 615 DIAMOND RIDGE RD, SEFFNER, FL, 335845047, US | |||||||||||||||||||||
|
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| Phone | +1 813-461-3111 |
| Fax | 8136439051 |
Authorized person
| Name | JILLIAN FAULCON |
| Role | CLINICAL DIRECTOR |
| Phone | 8134613111 |
Taxonomy
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024875100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NORMAN JILLIAN | Agent | 11214 E DR. MARTIN LUTHER KING, Seffner, FL, 33584 |
| Name | Role | Address |
|---|---|---|
| NORMAN Jillian | Director | 11214 E DR. MARTIN LUTHER KING, Seffner, FL, 33584 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-19 | NORMAN, JILLIAN | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-30 | 11214 E DR. MARTIN LUTHER KING, JR. BLVD, Seffner, FL 33584 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-30 | 11214 E DR. MARTIN LUTHER KING, JR. BLVD, Seffner, FL 33584 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-30 | 11214 E DR. MARTIN LUTHER KING, JR. BLVD, Seffner, FL 33584 | No data |
| REINSTATEMENT | 2020-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-04-06 |
| AMENDED ANNUAL REPORT | 2020-10-02 |
| REINSTATEMENT | 2020-09-28 |
| Florida Limited Liability | 2019-09-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
