| Entity Name: | G A C SUPPORT SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2020 (5 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 15 Feb 2021 (4 years ago) |
| Document Number: | L20000168751 |
| FEI/EIN Number | 85-1560555 |
| Address: | 6316 San Juan Ave, Jacksonville, FL, 32210, US |
| Mail Address: | 6316 San Juan Ave, Jacksonville, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1932719333 | 2020-07-31 | 2023-04-06 | 6316 SAN JUAN AVE STE 41K, JACKSONVILLE, FL, 322102831, US | 6316 SAN JUAN AVE STE 41K, JACKSONVILLE, FL, 322102831, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-203-0891 |
| Fax | 9043954310 |
| Phone | +1 877-720-8455 |
Authorized person
| Name | JAMILYA JONES |
| Role | OWNER |
| Phone | 9047472084 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109533200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 110378800 |
| State | FL |
| Issuer | MEDICAID |
| Number | 103329000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Jones JAMILYA | Agent | 6316 San Juan Ave, Jacksonville, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| JONES JAMILYA | Chief Executive Officer | 6316 San Juan Ave, Jacksonville, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-31 | 6316 San Juan Ave, Suite 41K, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-31 | 6316 San Juan Ave, Suite 41K, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-31 | Jones, JAMILYA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-31 | 6316 San Juan Ave, Suite 41K, Jacksonville, FL 32210 | No data |
| LC AMENDMENT AND NAME CHANGE | 2021-02-15 | G A C SUPPORT SERVICES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-03-31 |
| AMENDED ANNUAL REPORT | 2022-10-18 |
| AMENDED ANNUAL REPORT | 2022-09-21 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-08 |
| LC Amendment and Name Change | 2021-02-15 |
| Florida Limited Liability | 2020-06-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
