Entity Name: | SUPERIOR THERAPY SERVICES, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 20 Mar 2001 (24 years ago) |
Document Number: | P01000030364 |
FEI/EIN Number | 65-1090078 |
Address: | 315 NE 10TH AVE, CRYSTAL RIVER, FL 34429 |
Mail Address: | 315 NE 10TH AVE, CRYSTAL RIVER, FL 34429 |
ZIP code: | 34429 |
County: | Citrus |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1134117542 | 2005-10-10 | 2022-11-14 | 315 NE 10TH AVE, CRYSTAL RIVER, FL, 344294456, US | 315 NE 10TH AVE, CRYSTAL RIVER, FL, 344294456, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 352-795-7006 |
Fax | 3527957008 |
Authorized person
Name | DR. DEBORAH R CAMPBELL |
Role | PRESIDENT |
Phone | 3527957006 |
Taxonomy
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | No |
Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
Is Primary | No |
Taxonomy Code | 261Q00000X - Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 888501000 |
State | FL |
Issuer | BLUE CROSS |
Number | T0984 |
State | FL |
Issuer | HEALTHEASE |
Number | 135053 |
State | FL |
Issuer | PEDICARE |
Number | C078 |
State | FL |
Name | Role | Address |
---|---|---|
CAMPBELL, JASON | Agent | 14 DRYPETES COURT WEST, HOMOSASSA, FL 34446 |
Name | Role | Address |
---|---|---|
CAMPBELL, DEBORAH R | President | 14 DRYPETES COURT WEST, HOMOSASSA, FL 34446 |
Name | Role | Address |
---|---|---|
CAMPBELL, DEBORAH R | Director | 14 DRYPETES COURT WEST, HOMOSASSA, FL 34446 |
Name | Role | Address |
---|---|---|
CAMPBELL, JASON | Chief Operating Officer | 14 DRYPETES COURT WEST, HOMOSASSA, FL 34446 |
Name | Role | Address |
---|---|---|
CAMPBELL, JASON | Other | 14 DRYPETES COURT WEST, HOMOSASSA, FL 34446 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2007-04-30 | 14 DRYPETES COURT WEST, HOMOSASSA, FL 34446 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2006-01-21 | 315 NE 10TH AVE, CRYSTAL RIVER, FL 34429 | No data |
CHANGE OF MAILING ADDRESS | 2006-01-21 | 315 NE 10TH AVE, CRYSTAL RIVER, FL 34429 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-04 |
ANNUAL REPORT | 2023-02-02 |
ANNUAL REPORT | 2022-03-07 |
ANNUAL REPORT | 2021-02-19 |
ANNUAL REPORT | 2020-04-26 |
ANNUAL REPORT | 2019-03-14 |
ANNUAL REPORT | 2018-03-22 |
ANNUAL REPORT | 2017-02-10 |
ANNUAL REPORT | 2016-02-05 |
ANNUAL REPORT | 2015-03-18 |
Date of last update: 31 Jan 2025
Sources: Florida Department of State