| Entity Name: | SUNSHINE CARE SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jul 2018 (7 years ago) |
| Document Number: | P18000059535 |
| FEI/EIN Number | 83-1164535 |
| Address: | 3669 Pelock Drive, Apopka, FL, 32703, US |
| Mail Address: | P.O. Box 580161, Orlando, FL, 32858, US |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275143786 | 2020-08-10 | 2022-02-23 | PO BOX 580161, ORLANDO, FL, 328580161, US | 350 NOTRE DAME DR, ALTAMONTE SPRINGS, FL, 327144119, US | |||||||||||||||||||||||
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| Phone | +1 321-594-9656 |
Authorized person
| Name | SHENEITA KELLY |
| Role | OWNER/DIRECTOR |
| Phone | 3215949656 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100409800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KELLY SHENEITA | Agent | 3669 Pelock Drive, Apopka, FL, 32703 |
| Name | Role | Address |
|---|---|---|
| Kelly Sheneita | President | P.O. Box 580161, Orlando, FL, 32858 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-02-22 | 3669 Pelock Drive, Apopka, FL 32703 | No data |
| CHANGE OF MAILING ADDRESS | 2022-02-22 | 3669 Pelock Drive, Apopka, FL 32703 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-22 | 3669 Pelock Drive, Apopka, FL 32703 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-21 |
| ANNUAL REPORT | 2023-01-12 |
| ANNUAL REPORT | 2022-02-22 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-02-02 |
| ANNUAL REPORT | 2019-02-21 |
| Domestic Profit | 2018-07-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
