| Entity Name: | EDWARDS SUPPORT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Nov 2019 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 25 Nov 2019 (5 years ago) |
| Document Number: | L19000276057 |
| FEI/EIN Number | 84-3579114 |
| Address: | 501 10th st #521, Lake Park, FL, 33403, US |
| Mail Address: | 501 10th st #521, Lake Park, FL, 33403, US |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831761063 | 2021-07-16 | 2023-09-06 | 401 N ROSEMARY AVE, WEST PALM BEACH, FL, 334014133, US | 401 N ROSEMARY AVE, WEST PALM BEACH, FL, 334014133, US | |||||||||||||||||||
|
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| Phone | +1 561-236-0021 |
Authorized person
| Name | KENTRELL LAMAR EDWARDS |
| Role | OWNER |
| Phone | 5612360021 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 236386 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDWARDS KENTRELL L | Agent | 2001 Broadway, Riviera Beach, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| EDWARDS KENTRELL L | Manager | 1131 W 26TH ST, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| EDWARDS ARTHUR JIII | Authorized Representative | 1131 W 26TH ST, RIVIERA BEACH, FL, 33404 |
| WASHINGTON DAWN E | Authorized Representative | 318 N. MYRTLE AVE., NEW SMYMA BEACH, FL, 32168 |
| Edwards Kentrell | Authorized Representative | 1131 w 26th st, Riviera Beach, FL, 33404 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000005849 | BRIDGING THE GAP HEALTH CARE STAFFING | ACTIVE | 2022-01-17 | 2027-12-31 | No data | 401 N ROSEMARY AVE, WEST PALM BEACH FL, FL, 33401 |
| G22000009970 | BRIDGING THE GAP HEALTH CARE | ACTIVE | 2022-01-04 | 2027-12-31 | No data | 401 N ROSEMARY AVE, WEST PALM BEACH FL, FL, 33401 |
| G21000151151 | ARMS OF FAITH HOME CARE INC | ACTIVE | 2021-11-10 | 2026-12-31 | No data | 401 N ROSEMARY AVE, WEST PALM BEACH FL, FL, 33401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-22 | 501 10th st #521, Lake Park, FL 33403 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-22 | 501 10th st #521, Lake Park, FL 33403 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-23 | 2001 Broadway, 560, Riviera Beach, FL 33404 | No data |
| LC AMENDMENT | 2019-11-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-02-03 |
| LC Amendment | 2019-11-25 |
| Florida Limited Liability | 2019-11-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
