| Entity Name: | ALLEGIANT ASSISTANT HOMECARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Jan 2019 (6 years ago) |
| Document Number: | P19000009968 |
| FEI/EIN Number | 84-1822331 |
| Address: | 547 B Fairways Circle, Ocala, FL, 34472, US |
| Mail Address: | 547 B Fairways Circle, Ocala, FL, 34472, US |
| ZIP code: | 34472 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063046332 | 2020-02-26 | 2021-09-30 | 121 DOGWOOD DRIVE LOOP, OCALA, FL, 344725667, US | 121 DOGWOOD DRIVE LOOP, OCALA, FL, 344725667, US | |||||||||||||||||||||||
|
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| Phone | +1 352-512-2813 |
Authorized person
| Name | NAKIA LYNELL SMITH |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 3525122813 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 376J00000X - Homemaker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID PROVIDER |
| Number | 12345 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH NAKIA L | Agent | 547 B Fairways Circle, Ocala, FL, 34472 |
| Name | Role | Address |
|---|---|---|
| Smith Nakia L | Chief Executive Officer | 547 B Fairways Circle, Ocala, FL, 34472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-06 | 547 B Fairways Circle, J building, Ocala, FL 34472 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-06 | 547 B Fairways Circle, J building, Ocala, FL 34472 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-06 | 547 B Fairways Circle, J building, Ocala, FL 34472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| AMENDED ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-05-08 |
| Domestic Profit | 2019-01-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
