| Entity Name: | POWELL SUPPORTIVE SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Sep 2008 (16 years ago) |
| Document Number: | P08000088775 |
| FEI/EIN Number | 263486110 |
| Address: | 3632 Land O Lakes Blvd, Land O Lakes, FL, 34639, US |
| Mail Address: | 3632 Land O Lakes Blvd, Land O Lakes, FL, 34639, US |
| ZIP code: | 34639 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235531690 | 2014-09-17 | 2014-09-17 | 802 71ST ST NW, BRADENTON, FL, 342091515, US | 802 71ST ST NW, BRADENTON, FL, 342091515, US | |||||||||||||||||
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| Phone | +1 813-767-3808 |
Authorized person
| Name | NATASHA POWELL |
| Role | OWNER |
| Phone | 8137673808 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12389 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POWELL NATASHA | Agent | 3632 Land O Lakes Blvd, Land O Lakes, FL, 34639 |
| Name | Role | Address |
|---|---|---|
| POWELL NATASHA | Chief Executive Officer | 3632 Land O Lakes Blvd, Land O Lakes, FL, 34639 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000007290 | BRADENTON PALMS ALF I | ACTIVE | 2013-01-21 | 2028-12-31 | No data | 802 71ST NW, BRADENTON, FL, 34209 |
| G12000121047 | NORTHWEST HEALTHCARE SERVICES | EXPIRED | 2012-12-14 | 2017-12-31 | No data | 23452 ABERCORN, LAND O LAKES, FL, 34639 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-17 | 3632 Land O Lakes Blvd, Suite 106, RM 10, Land O Lakes, FL 34639 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-17 | 3632 Land O Lakes Blvd, Suite 106, RM 10, Land O Lakes, FL 34639 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-17 | 3632 Land O Lakes Blvd, Suite 106, RM 10, Land O Lakes, FL 34639 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-01-17 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-03-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
