| Entity Name: | ADVOCACY SUPPORT GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Aug 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 12 Oct 2021 (3 years ago) |
| Document Number: | L20000260496 |
| FEI/EIN Number | 85-3246751 |
| Address: | 5485 TABB AVENUE, SPRING HILL, FL 34609 |
| Mail Address: | 5485 TABB AVENUE, SPRING HILL, FL 34609 |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598414591 | 2022-03-18 | 2022-03-18 | 5485 TABB AVE, SPRING HILL, FL, 346091307, US | 5485 TABB AVE, SPRING HILL, FL, 346091307, US | |||||||||||||||||||
|
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| Phone | +1 813-210-6834 |
Authorized person
| Name | NANCY PAYNE |
| Role | OWNER |
| Phone | 8132106834 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109435600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAYNE, NANCY M | Agent | 5485 TABB AVE, SPRING HILL, FL 34609 |
| Name | Role | Address |
|---|---|---|
| PAYNE, NANCY M | Authorized Member | 5485 TABB AVE, SPRING HILL, FL 34609 |
| SMITH, JOANN | Authorized Member | 2442 MOORE HAVEN DRIVE WEST, CLEARWATER, FL 33763 |
| FLANSBURG, RENEE | Authorized Member | 6016 S. 4TH STREET, TAMPA, FL 33611 |
| Peregolise, Wendy | Authorized Member | 6005 Golf and Sea Blvd, Apollo Beach, FL 33572-2627 |
| Krueger, Marisa | Authorized Member | 9737 Magnolia View CT, APT 301 Riverview, FL 33578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-10-12 | No data | No data |
| LC AMENDMENT | 2020-10-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-22 |
| LC Amendment | 2021-10-12 |
| ANNUAL REPORT | 2021-04-09 |
| LC Amendment | 2020-10-27 |
| Florida Limited Liability | 2020-08-24 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
