| Entity Name: | INDEPENDENT SUPPORT CARE SERVICE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Dec 2020 (4 years ago) |
| Document Number: | L20000387676 |
| FEI/EIN Number | 85-4353953 |
| Address: | 2188 S HAVERHILL ROAD, WEST PALM BEACH, FL, 33415 |
| Mail Address: | PO BOX 16604, WEST PALM BEACH, FL, 33416 |
| ZIP code: | 33415 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194416446 | 2023-05-17 | 2023-05-17 | PO BOX 16604, WEST PALM BEACH, FL, 334166604, US | 2188 S HAVERHILL RD, WEST PALM BEACH, FL, 334157352, US | |||||||||||||||||
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| Phone | +1 561-856-2081 |
Authorized person
| Name | NATWONA FULLER |
| Role | OWNER |
| Phone | 5618562081 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FULLER NATWONA | Agent | 2188 S. HAVERHILL ROAD, WEST PALM BEACH, FL, 33415 |
| Name | Role | Address |
|---|---|---|
| FULLER NATWONA | Manager | 2188 S HAVERHILL ROAD, WEST PALM BEACH, FL, 33415 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| Florida Limited Liability | 2020-12-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
