Entity Name: | ALL KIDS THERAPY SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 27 Dec 2000 (24 years ago) |
Document Number: | P01000001268 |
FEI/EIN Number | 593692898 |
Address: | 3407 CLOVER BLOSSOM CIRCLE, LAND O LAKES, FL, 34638 |
Mail Address: | 3407 CLOVER BLOSSOM CIRCLE, LAND O LAKES, FL, 34638 |
ZIP code: | 34638 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1265864805 | 2013-08-06 | 2013-08-06 | 3407 CLOVER BLOSSOM CIR, LAND O LAKES, FL, 346387994, US | 3407 CLOVER BLOSSOM CIR, LAND O LAKES, FL, 346387994, US | |||||||||||||||||||||||||
|
Phone | +1 813-245-3098 |
Fax | 8139265607 |
Authorized person
Name | MS. SANDRA MARIE BECK |
Role | OWNER/PRESIDENT |
Phone | 8132453098 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
License Number | OT8721 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1851301063 |
State | FL |
Name | Role | Address |
---|---|---|
BECK SANDRA | Agent | 3407 CLOVER BLOSSOM CIRCLE, LAND O LAKES, FL, 34638 |
Name | Role | Address |
---|---|---|
BECK SANDRA | Director | 3407 CLOVER BLOSSOM CIRCLE, LAND O LAKES, FL, 34638 |
Name | Role | Address |
---|---|---|
BECK SANDRA | President | 3407 CLOVER BLOSSOM CIRCLE, LAND O LAKES, FL, 34638 |
Name | Role | Address |
---|---|---|
BECK SANDRA | Secretary | 3407 CLOVER BLOSSOM CIRCLE, LAND O LAKES, FL, 34638 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State