| Entity Name: | EDGEMON & ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Feb 2002 (23 years ago) |
| Document Number: | P02000022795 |
| FEI/EIN Number | 010619155 |
| Address: | 2521 13TH STREET, STE. FL, SAINT CLOUD, FL, 34769 |
| Mail Address: | 2521 13TH STREET, STE. FL, SAINT CLOUD, FL, 34769 |
| ZIP code: | 34769 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245565811 | 2009-10-15 | 2012-11-26 | 2521 13TH STREET, SUITE F, ST. CLOUD, FL, 34769, US | 2521 13TH STREET, SUITE F, ST. CLOUD, FL, 34769, US | |||||||||||||||||||||||||
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| Phone | +1 407-891-8884 |
| Fax | 4079577800 |
Authorized person
| Name | MRS. SONYA EDGEMON-SMITH |
| Role | PRESIDENT |
| Phone | 4078918884 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299992363 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005587600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SONYA SMITH | Agent | 2521 13TH STREET, SAINT CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| EDGEMON-SMITH SONYA E | President | 2521 13TH STREET, STE F, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| EDGEMON-SMITH SONYA E | Director | 2521 13TH STREET, STE F, ST. CLOUD, FL, 34769 |
| EDGEMON JUDY T | Director | 2521 13TH STREET, STE F, ST. CLOUD, FL, 34769 |
| OLIVER G. WAYNE | Director | 2521 13TH STREET, STE F, ST. CLOUD, FL, 34769 |
| SMITH MICHAEL H | Director | 2521 13TH STREET, STE F, SAINT CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| EDGEMON JUDY T | Secretary | 2521 13TH STREET, STE F, ST. CLOUD, FL, 34769 |
| Name | Role | Address |
|---|---|---|
| EDGEMON JUDY T | Treasurer | 2521 13TH STREET, STE F, ST. CLOUD, FL, 34769 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000129347 | COMFORT KEEPERS | EXPIRED | 2015-12-22 | 2020-12-31 | No data | 2521 13TH STREET, SAINT CLOUD, FL, 34769 |
| G15000009827 | COMFORT KEEPERS | EXPIRED | 2015-01-28 | 2020-12-31 | No data | 2521 13TH STREET, STE F, SAINT CLOUD, FL, 34769 |
| G13000115804 | COMFORT KEEPERS | EXPIRED | 2013-11-26 | 2018-12-31 | No data | 2521 13TH STREET, STE F, SAINT CLOUD, FL, 34769 |
| G08196900397 | MIKE SMITH AG SERVICES | EXPIRED | 2008-07-14 | 2013-12-31 | No data | 1106-A 10TH STREET, ST. CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2014-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
