| Entity Name: | "FAMILY SUPPORT HOME, LLC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 May 2024 (9 months ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 21 Oct 2024 (3 months ago) |
| Document Number: | L24000214590 |
| FEI/EIN Number | 993120692 |
| Address: | 1761 NW 82 AVE, PEMBROKE PINES, FL, 33024, US |
| Mail Address: | 1761 NW 82 AVE, PEMBROKE PINES, FL, 33024, US |
| ZIP code: | 33024 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417795709 | 2024-07-19 | 2024-08-12 | 1761 NW 82ND AVE, PEMBROKE PINES, FL, 330243542, US | 1761 NW 82ND AVE, PEMBROKE PINES, FL, 330243542, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 305-956-8107 |
Authorized person
| Name | JUAN ANTONIO RODRIGUEZ |
| Role | ADMINISTRATOR |
| Phone | 3059568107 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| UZCATEGUI DORIS | Agent | 5401 SW 42 ST, DAVIE, FL, 33314 |
| Name | Role | Address |
|---|---|---|
| GOMEZ GONZALEZ AMELIA | Manager | 1761 NW 82ND AVE, PEMBROKE PINES, FL, 33024 |
| RODRIGUEZ JUAN A | Manager | 1761 NW 82 AVE, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-10-21 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-10-21 |
| Florida Limited Liability | 2024-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
