| Entity Name: | SUPPLEMENTAL SUPPORT CARE SERVICES LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SUPPLEMENTAL SUPPORT CARE 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 06 Apr 2021 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Oct 2023 (a year ago) |
| Document Number: | L21000158423 |
| FEI/EIN Number |
862820905
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 8180 PENSACOLA BLVD, PENSACOLA, FL, 32534, US |
| Mail Address: | 8180 PENSACOLA BLVD, PENSACOLA, FL, 32534, US |
| ZIP code: | 32534 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669132171 | 2021-12-23 | 2021-12-23 | 8180 PENSACOLA BLVD STE 215, PENSACOLA, FL, 325344354, US | 8180 PENSACOLA BLVD STE 215, PENSACOLA, FL, 325344354, US | |||||||||||||||||||||
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| Phone | +1 850-346-1780 |
| Fax | 8502850209 |
Authorized person
| Name | MRS. GABRIELLE D CRENSHAW |
| Role | OWNER |
| Phone | 8502936488 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 111228300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIMS GABRIELLE D | Manager | 8180 PENSACOLA BLVD., SUITE 215, PENSACOLA, FL, 32534 |
| SIMS GABRIELLE D | Agent | 8180 Pensacola Blvd, Pensacola, FL, 32534 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-10-18 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-10-18 | SIMS, GABRIELLE D | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-09 | 8180 Pensacola Blvd, Suite 215, Pensacola, FL 32534 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-03 | 8180 PENSACOLA BLVD, SUITE 215, PENSACOLA, FL 32534 | - |
| CHANGE OF MAILING ADDRESS | 2021-12-03 | 8180 PENSACOLA BLVD, SUITE 215, PENSACOLA, FL 32534 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| LC Amendment | 2023-10-18 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-09 |
| Florida Limited Liability | 2021-04-06 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
