| Entity Name: | AVANTE VILLA AT JACKSONVILLE BEACH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 13 Jun 1989 (36 years ago) |
| Document Number: | K94916 |
| FEI/EIN Number | 59-2950660 |
| Mail Address: | 5900 LAKE ELLENOR DR, SUITE 700A, ORLANDO, FL 32809 |
| Address: | 1504 SEABREEZE AVENUE, JACKSONVILLE BEACH, FL 32250 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083791263 | 2006-11-01 | 2022-03-17 | 5900 LAKE ELLENOR DR STE 700, ORLANDO, FL, 328094643, US | 1504 SEABREEZE AVE, JACKSONVILLE BEACH, FL, 322503365, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-216-0101 |
| Fax | 4073182477 |
| Phone | +1 904-249-7421 |
| Fax | 9042498208 |
Authorized person
| Name | KIMBERLY L. BIEGASIEWICZ |
| Role | PRESIDENT |
| Phone | 4072160101 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF10270961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020091300 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| HORNACK, JOHN C. | Secretary | 5900 LAKE ELLENOR DR, SUITE 700A ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| BIEGASIEWICZ, KIMBERLY L. | Director | 5900 LAKE ELLENOR DR, SUITE 700A ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| BIEGASIEWICZ, KIMBERLY L. | President | 5900 LAKE ELLENOR DR, SUITE 700A ORLANDO, FL 32809 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-06 | 1504 SEABREEZE AVENUE, JACKSONVILLE BEACH, FL 32250 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-29 | 1504 SEABREEZE AVENUE, JACKSONVILLE BEACH, FL 32250 | No data |
| REGISTERED AGENT NAME CHANGED | 2007-04-23 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1995-05-30 | 1201 HAYS STREET, SUITE 105, TALLAHASSEE, FL 32301 | No data |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| AVANTE VILLA AT JACKSONVILLE BEACH, INC. D/B/A AVANTE VILLA AT JACKSONVILEE VS LINDA HUMPHREY, AS PERSONAL REPRESENTATIVE OF THE ESTATE OF ROY HUMPHREY, AND AG HOLDINGS, INC. | 5D2023-0894 | 2023-02-15 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Linda Humphrey |
| Role | Appellee |
| Status | Active |
| Representations | Margaret Mevers, Jennifer L. Reiber |
| Name | Estate of Roy Humphrey |
| Role | Appellee |
| Status | Active |
| Name | AG HOLDINGS, INC. |
| Role | Appellee |
| Status | Active |
| Name | Hon. Virginia Norton |
| Role | Judge/Judicial Officer |
| Status | Active |
| Name | Circuit Court Duval |
| Role | Lower Tribunal Clerk |
| Status | Active |
| Name | AVANTE VILLA AT JACKSONVILLE BEACH, INC. |
| Role | Appellant |
| Status | Active |
| Representations | Laura Zborowski |
Docket Entries
| Docket Date | 2023-02-15 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed ~ FILED BELOW 2/13/23 |
| On Behalf Of | Avante Villa at Jacksonville Beach, Inc. |
| Docket Date | 2023-03-27 |
| Type | Mandate |
| Subtype | Notice Memorandum |
| Description | Notice Memorandum |
| Docket Date | 2023-03-27 |
| Type | Record |
| Subtype | Returned Records |
| Description | Returned Records ~ NO RECORD EFILED |
| Docket Date | 2023-03-08 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | Dism. Filing Fee |
| Docket Date | 2023-03-08 |
| Type | Disposition |
| Subtype | Dismissed |
| Description | Dismissed - Order by Clerk |
| Docket Date | 2023-02-15 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order to pay filing fee - Civil appeal (300) |
| Docket Date | 2023-02-15 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | DM:No Fee - Case Dismissed |
| Docket Date | 2023-02-15 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgement Letter 1 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-06-06 |
| AMENDED ANNUAL REPORT | 2019-10-28 |
| AMENDED ANNUAL REPORT | 2019-06-16 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-04-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
