| Entity Name: | EKKLESIA COMMERCIAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Oct 2019 (5 years ago) |
| Document Number: | L19000240567 |
| FEI/EIN Number | 84-3293455 |
| Address: | 119 SOUTH PALMETTO, OFFICE 210, DAYTON BEACH, FL, 32114 |
| Mail Address: | 1500 BEVILLE ROAD, STE 606-154, DAYTONA BEACH, FL, 32114 |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265065304 | 2020-02-18 | 2020-02-18 | 1500 BEVILLE RD STE 606-154, DAYTONA BEACH, FL, 321145646, US | 119 S PALMETTO AVE STE 210, DAYTONA BEACH, FL, 321144327, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 386-527-9074 |
| Phone | +1 386-400-5665 |
Authorized person
| Name | GREG ROMEO |
| Role | ADMINISTRATOR |
| Phone | 3865279074 |
Taxonomy
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104882300 |
| State | FL |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| ROMEO GREGORY | Manager | 119 SOUTH PALMETTO, OFFICE 210, DAYTON BEACH, FL, 32114 |
| ROMEO TARA | Manager | 119 SOUTH PALMETTO, OFFICE 210, DAYTON BEACH, FL, 32114 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000005031 | KINGDOM KLEAN | ACTIVE | 2023-01-11 | 2028-12-31 | No data | 1500 BEVILLE RD., STE606-154, DAYTONA BEACH, FL, 32114 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-01-10 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-08-08 |
| Florida Limited Liability | 2019-10-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
