| Entity Name: | PRESTIGE SUPPORT SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Jun 2020 (5 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P20000047908 |
| FEI/EIN Number | 851772448 |
| Address: | 1317 WOOD LAKE CIRCLE, SAINT CLOUD, FL, 34772, US |
| Mail Address: | 1317 Wood Lake Cir, St. Cloud, FL, 34772, US |
| ZIP code: | 34772 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982378006 | 2021-08-03 | 2022-06-21 | 1317 WOOD LAKE CIR, SAINT CLOUD, FL, 347727467, US | 1317 WOOD LAKE CIR, SAINT CLOUD, FL, 347727467, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 407-556-3992 |
| Phone | +1 407-593-2621 |
Authorized person
| Name | KENYA ALA |
| Role | OWNER |
| Phone | 9124325254 |
Taxonomy
| Taxonomy Code | 332BC3200X - Customized Equipment (DME) |
| Is Primary | No |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA - HOMEMAKER COMPANION |
| Number | 237380 |
| State | FL |
| Issuer | MEDICAID |
| Number | 108873400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ALA KENYA | Agent | 1317 WOOD LAKE CIRCLE, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| ALA KENYA | Chief Executive Officer | 1317 WOOD LAKE CIRCLE, SAINT CLOUD, FL, 34772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-22 | 1317 WOOD LAKE CIRCLE, SAINT CLOUD, FL 34772 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-22 | 1317 WOOD LAKE CIRCLE, SAINT CLOUD, FL 34772 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-11-03 | 1317 WOOD LAKE CIRCLE, SAINT CLOUD, FL 34772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-22 |
| Domestic Profit | 2020-06-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
