| Entity Name: | LYNC SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 27 Feb 2017 (8 years ago) |
| Document Number: | N17000002219 |
| FEI/EIN Number | 82-0747244 |
| Mail Address: | 3614 Lumar Drive, Fort Washington, MD, 20744, US |
| Address: | 2615 SE 15th Street, Gainesville, FL, 32641, US |
| ZIP code: | 32641 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407335474 | 2018-08-10 | 2018-08-10 | 4314 SW 70TH TER APT D, GAINESVILLE, FL, 326086482, US | 4314 SW 70TH TER APT D, GAINESVILLE, FL, 326086482, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 352-354-3656 |
Authorized person
| Name | MS. LUKISHA N KING |
| Role | EXECUTIVE DIRECTOR |
| Phone | 3523543656 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385HR2055X - Child Mental Illness Respite Care |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021433100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KING LUKISHA N | Agent | 2615 SE 15th Street, Gainesville, FL, 32641 |
| Name | Role | Address |
|---|---|---|
| King Lukisha | President | 2615 SE 15th Street, Gainesville, FL, 32641 |
| Name | Role | Address |
|---|---|---|
| LINZY DARRELL E | Vice President | 2615 SE 15th Street, Gainesville, FL, 32641 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000071794 | LYNCSS | EXPIRED | 2017-06-30 | 2022-12-31 | No data | 4314 SW 70TH TERRACE, UNIT D, GAINESVILLE, FL, 32608 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-27 | 2615 SE 15th Street, Gainesville, FL 32641 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-27 | 2615 SE 15th Street, Gainesville, FL 32641 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-27 | 2615 SE 15th Street, Gainesville, FL 32641 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-03-28 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-02-15 |
| Domestic Non-Profit | 2017-02-27 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
