| Entity Name: | AB COMPASSIONATE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 05 Apr 2022 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L22000161707 |
| FEI/EIN Number | 88-2497167 |
| Address: | 1224 CARLSBAD PL, ORLANDO, FL 32808 |
| Mail Address: | 1224 CARLSBAD PL, ORLANDO, FL 32808 |
| ZIP code: | 32808 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639818859 | 2022-06-04 | 2022-06-04 | 5942 PARK HAMILTON BLVD APT 40, ORLANDO, FL, 328084117, US | 1224 CARLSBAD PL, ORLANDO, FL, 328087312, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 321-594-0057 |
Authorized person
| Name | MR. ANDREW BROKENBOROUGH |
| Role | OWNER |
| Phone | 3215940057 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1053 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BROKENBOROUGH, ANDREW | Agent | 1224 CARLSBAD PL, ORLANDO, FL 32808 |
| Name | Role | Address |
|---|---|---|
| BROKENBOROUGH, ANDREW | Manager | 1224 CARLSBAD PL, ORLANDO, FL 32808 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-04-05 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
