| Entity Name: | K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC SERVICES LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 11 Dec 2019 (5 years ago) |
| Date of dissolution: | 13 Jun 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 13 Jun 2024 (a year ago) |
| Document Number: | L19000301541 |
| FEI/EIN Number |
84-3889338
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6801 Lake Worth Road,, Green Acres, FL, 33467, US |
| Mail Address: | 6801 Lake Worth Road,, Green Acres, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558991646 | 2020-01-17 | 2022-08-02 | 6801 LAKE WORTH RD STE 219, GREENACRES, FL, 334672966, US | 6801 LAKE WORTH RD STE 219, GREENACRES, FL, 334672966, US | |||||||||||||||||||||
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| Phone | +1 561-328-8420 |
| Fax | 5618282884 |
Authorized person
| Name | ACELISE ALEXIS |
| Role | CEO |
| Phone | 5614104180 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHEILD, SUNSHINE, MEDICARE, UHC, AETNA, CIGNA |
| Number | APRN9203914 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALEXIS ACELISE | Manager | 6801 Lake Worth Road,, Green Acres, FL, 33467 |
| Alexis Jean J | Manager | 6801 Lake Worth Road,, Green Acres, FL, 33467 |
| K A COMPREHENSIVE MEDICAL AND PSYCHIATRIC | Agent | 6801 Lake Worth Road,, Green Acres, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-13 | - | - |
| LC REVOCATION OF DISSOLUTION | 2024-02-27 | - | - |
| VOLUNTARY DISSOLUTION | 2023-12-21 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-06-13 | 6801 Lake Worth Road,, SUITE 219, Green Acres, FL 33467 | - |
| REINSTATEMENT | 2022-10-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2022-08-03 | 6801 Lake Worth Road,, SUITE 219, Green Acres, FL 33467 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-03 | 6801 Lake Worth Road,, SUITE 219, Green Acres, FL 33467 | - |
| REINSTATEMENT | 2021-11-23 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-06-13 |
| LC Revocation of Dissolution | 2024-02-27 |
| VOLUNTARY DISSOLUTION | 2023-12-21 |
| AMENDED ANNUAL REPORT | 2023-06-13 |
| ANNUAL REPORT | 2023-03-27 |
| REINSTATEMENT | 2022-10-24 |
| REINSTATEMENT | 2021-11-23 |
| REINSTATEMENT | 2020-11-06 |
| Florida Limited Liability | 2019-12-11 |
Date of last update: 01 May 2025
Sources: Florida Department of State
