| Entity Name: | A GREAT LIFE SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Apr 2006 (19 years ago) |
| Document Number: | P06000053181 |
| FEI/EIN Number | 204698086 |
| Address: | 1150 S Semoran Blvd, ORLANDO, FL, 32807, US |
| Mail Address: | 15031 PERDIDO DRIVE, ORLANDO, FL, 32828 |
| ZIP code: | 32807 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1144367418 | 2007-01-30 | 2018-09-12 | 15031 PERDIDO DR, ORLANDO, FL, 328285216, US | 1150 S SEMORAN BLVD STE A, ORLANDO, FL, 328071424, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-702-5258 |
| Fax | 4073820659 |
| Phone | +1 407-704-7811 |
Authorized person
| Name | MRS. JANERA ECHEVARRIA |
| Role | CEO |
| Phone | 4077025258 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | LMHC 10628 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| License Number | 0-05-1761 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | P06000053181 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004774200 |
| State | FL |
| Issuer | MEDICAID PERSONAL CARE |
| Number | 691558202 |
| State | FL |
| Issuer | MEDICAID |
| Number | 691558296 |
| State | FL |
| Issuer | MEDICAID AGED/DISABLED ADULTS |
| Number | 691558201 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ECHEVARRIA JANERA | Agent | 15031 PERDIDO DRIVE, ORLANDO, FL, 32828 |
| Name | Role | Address |
|---|---|---|
| ECHEVARRIA JANERA | Chief Executive Officer | 15031 PERDIDO DRIVE, ORLANDO, FL, 32828 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-05-02 | 1150 S Semoran Blvd, Suite A, ORLANDO, FL 32807 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-03 | 15031 PERDIDO DRIVE, ORLANDO, FL 32828 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-02 |
| ANNUAL REPORT | 2019-01-03 |
| AMENDED ANNUAL REPORT | 2018-05-02 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
