| Entity Name: | PEDIATRIC SERVICES OF AMERICA, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Foreign |
| Status: | Active |
| Date Formed: | 04 Jan 2021 (Companies founded in January 2021) |
| Business ALEI: | 1371796 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621610 - Home Health Care Services |
| Business address: | 400 INTERSTATE NORTH PARKWAY SE SUITE 1600, ATLANTA, GA, 30339-5047, United States |
| Mailing address: | 400 INTERSTATE NORTH PARKWAY SE SUITE 1600, ATLANTA, GA, United States, 30339-5047 |
| Place of Formation: | GEORGIA |
| E-Mail: | LEGAL.NOTICE@AVEANNA.COM |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DEBORAH STEWART | Officer | 400 INTERSTATE NORTH PARKWAY SE SUITE 1600, ATLANTA, GA, 30339-5047, United States | 400 INTERSTATE NORTH PKWY SE STE. 1600, ATLANTA, GA, 30339, United States |
| SHANNON DRAKE | Officer | 400 INTERSTATE NORTH PARKWAY SE, SUITE 1600, ATLANTA, GA, 30339-5047, United States | 400 INTERSTATE NORTH PKWY SE, STE. 1600, ATLANTA, GA, 30339, United States |
| JEFFREY SHANER | Officer | 400 INTERSTATE NORTH PARKWAY SE SUITE 1600, ATLANTA, GA, 30339-5047, United States | 400 INTERSTATE NORTH PKWY SE STE. 1600, ATLANTA, GA, 30339, United States |
| MATTHEW BUCKHALTER | Officer | 400 INTERSTATE NORTH PARKWAY SE SUITE 1600, ATLANTA, GA, 30339-5047, United States | 400 INTERSTATE NORTH PKWY SE STE. 1600, ATLANTA, GA, 30339, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| HCA.0001847 | HOMEMAKER COMPANION AGENCY | ACTIVE IN RENEWAL | CURRENT | 2021-03-09 | 2023-11-01 | 2024-10-31 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012312128 | 2024-03-20 | No data | Annual Report | Annual Report | No data |
| BF-0011095218 | 2023-02-27 | No data | Annual Report | Annual Report | No data |
| BF-0010394533 | 2022-03-07 | No data | Annual Report | Annual Report | 2022 |
| BF-0010459748 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007051267 | 2021-01-04 | 2021-01-04 | Business Registration | Certificate of Registration | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
