| Entity Name: | SUPPORTING INDEPENDENCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Mar 2008 (17 years ago) |
| Document Number: | P08000028447 |
| FEI/EIN Number | 262208175 |
| Address: | 2200 Lucien Way, Maitland, FL, 32751, US |
| Mail Address: | 2200 Lucien Way, Maitland, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558653204 | 2011-05-12 | 2015-09-21 | 2200 LUCIEN WAY, SUITE 175, MAITLAND, FL, 32751, US | 2200 LUCIEN WAY, SUITE 175, MAITLAND, FL, 327517007, US | |||||||||||||||||||||||||||
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| Phone | +1 407-434-0766 |
| Fax | 4074340766 |
Authorized person
| Name | MR. CHRIS PARK |
| Role | OWNER |
| Phone | 4074340766 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 299993995 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | 299993995 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Donaghy Kevin PEsq. | Agent | 195 Wekiva Springs Road, Longwood, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| PARK ROBERT C | President | 2200 Lucien Way, Maitland, FL, 32751 |
| Name | Role | Address |
|---|---|---|
| PARK Kristy L | VIce | 2200 Lucien Way, Maitland, FL, 32751 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-24 | 2200 Lucien Way, Suite # 175, Maitland, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-24 | 2200 Lucien Way, Suite # 175, Maitland, FL 32751 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-05-01 | Donaghy, Kevin P, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-05-01 | 195 Wekiva Springs Road, Suite # 224, Longwood, FL 32779 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-01-16 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-07 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
