| Entity Name: | HEATHER HAVEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Apr 1986 (39 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 14 Jan 1999 (26 years ago) |
| Document Number: | J09561 |
| FEI/EIN Number | 59-2670978 |
| Address: | 10476 131st Street N, Largo, FL 33774 |
| Mail Address: | 10476 131st Street N, Largo, FL 33774 |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407997489 | 2007-02-10 | 2011-03-24 | 725 EDGEWATER DR, DUNEDIN, FL, 346986947, US | 725 EDGEWATER DR, DUNEDIN, FL, 346986947, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-733-3510 |
Authorized person
| Name | MRS. DONNA DAMIANI |
| Role | PRESIDENT |
| Phone | 7277333510 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5417 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5662 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140380000 |
| State | FL |
| Issuer | MEDICAID |
| Number | 691227300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 140382600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001822700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAMIANI, DONNA | Agent | 10476 131st Street N, Largo, FL 33774 |
| Name | Role | Address |
|---|---|---|
| Damiani, Donna | President | 10476 131st Street N, Largo, FL 33774 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000005120 | HEATHER HAVEN II | EXPIRED | 2013-01-15 | 2018-12-31 | No data | 220 SCOTLAND STREET, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-29 | 10476 131st Street N, Largo, FL 33774 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-29 | 10476 131st Street N, Largo, FL 33774 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-29 | 10476 131st Street N, Largo, FL 33774 | No data |
| REGISTERED AGENT NAME CHANGED | 2000-02-07 | DAMIANI, DONNA | No data |
| MERGER | 1999-01-14 | No data | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 500000021555 |
| REINSTATEMENT | 1996-10-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-03-09 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
