| Entity Name: | HAVE "FAITH" SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jun 2005 (20 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 06 Jul 2005 (20 years ago) |
| Document Number: | P05000093444 |
| FEI/EIN Number | 061750558 |
| Address: | 112 LANE AVE S., #5, JACKSONVILLE, FL, 32254 |
| Mail Address: | 112 LANE AVE S., #5, JACKSONVILLE, FL, 32254 |
| ZIP code: | 32254 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386044337 | 2014-08-27 | 2014-08-27 | 2276 CHEROKEE COVE TRL, JACKSONVILLE, FL, 322214906, US | 112 LANE AVE S # 5, JACKSONVILLE, FL, 322543524, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 904-382-9826 |
Authorized person
| Name | MARINESA POKE |
| Role | PRESIDENT |
| Phone | 9044829826 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002176300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POKE-BAEZ MARINESA S | Agent | 112 LANE AVE S, JACKSONVILLE, FL, 32254 |
| Name | Role | Address |
|---|---|---|
| POKE-BAEZ MARINESA S | President | 112 LANE AVE S. #5, JACKSONVILLE, FL, 32254 |
| Name | Role | Address |
|---|---|---|
| baez jose | Secretary | 112 lane ave s. #5, jacksonville, FL, 32254 |
| Name | Role | Address |
|---|---|---|
| forehand jaylen | Exec | 112 LANE AVE S., JACKSONVILLE, FL, 32254 |
| Name | Role | Address |
|---|---|---|
| forehand II victaveon | Asst | 112 LANE AVE S., JACKSONVILLE, FL, 32254 |
| Faith Forehand | Asst | 112 LANE AVE S., JACKSONVILLE, FL, 32254 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-04-27 | POKE-BAEZ, MARINESA S | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-30 | 112 LANE AVE S., #5, JACKSONVILLE, FL 32254 | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-30 | 112 LANE AVE S., #5, JACKSONVILLE, FL 32254 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-30 | 112 LANE AVE S, #5, JACKSONVILLE, FL 32254 | No data |
| AMENDMENT | 2005-07-06 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-04 |
| AMENDED ANNUAL REPORT | 2022-10-31 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-28 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-05-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4062208605 | 2021-03-17 | 0491 | PPS | 112 Lane Ave S # 5, Jacksonville, FL, 32254-3524 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5635467206 | 2020-04-27 | 0491 | PPP | 2276 CHEROKEE COVE TRL,, JACKSONVILLE, FL, 32221 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 02 Feb 2025
Sources: Florida Department of State
