| Entity Name: | ST. JOHN SUPPORT SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 27 Feb 2007 (18 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P07000025883 |
| FEI/EIN Number | 208530058 |
| Address: | 435 CLARK ROAD, STE# 410, JACKSONVILLE, FL, 32218 |
| Mail Address: | 435 CLARK ROAD, STE# 410, JACKSONVILLE, FL, 32218 |
| ZIP code: | 32218 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023279478 | 2008-06-18 | 2008-06-18 | 435 CLARK RD STE 408-3, JACKSONVILLE, FL, 322188505, US | 435 CLARK RD STE 408-3, JACKSONVILLE, FL, 322188505, US | |||||||||||||||||||||||||||
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| Phone | +1 904-768-6116 |
| Fax | 9047130307 |
Authorized person
| Name | THERESA A ISHMAN-HOLT |
| Role | OWNER |
| Phone | 9047686116 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 6917585-98 |
| State | FL |
| Issuer | MEDICAID |
| Number | 6917585-96 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ISHMAN THERESA A | Agent | 2153 NEWBERRY ROAD, JACKSONVILLE, FL, 32218 |
| Name | Role | Address |
|---|---|---|
| ISHMAN THERESA A | President | 2153 NEWBERRY ROAD, JACKSONVILLE, FL, 32218 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-07-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-07-07 | ISHMAN, THERESA A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-05-28 | 435 CLARK ROAD, STE# 410, JACKSONVILLE, FL 32218 | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-28 | 435 CLARK ROAD, STE# 410, JACKSONVILLE, FL 32218 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2015-07-07 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-08-28 |
| ANNUAL REPORT | 2011-03-21 |
| ANNUAL REPORT | 2010-05-28 |
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-06-16 |
| Domestic Profit | 2007-02-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
