| Entity Name: | SAFE COMPANIONS SPECIALTY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L21000422006 |
| FEI/EIN Number | 87-2796090 |
| Address: | 1112 SWAN ST, MELBOURNE, FL, 32935, US |
| Mail Address: | 1112 SWAN ST, MELBOURNE, FL, 32935, UN |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710605035 | 2022-08-22 | 2022-08-22 | 1112 SWAN ST, MELBOURNE, FL, 329356188, US | 1112 SWAN ST, MELBOURNE, FL, 329356188, US | |||||||||||||||||||
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| Phone | +1 321-215-8397 |
Authorized person
| Name | ROBERT M MITCHELL |
| Role | OWNER |
| Phone | 3212158397 |
Taxonomy
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113948800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITCHELL ROBERT M | Agent | 1112 SWAN ST, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| MITCHELL ROBERT | Manager | 1112 SWAN ST, MELBOURNE, FL, 32935 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-14 |
| Florida Limited Liability | 2021-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
