| Entity Name: | KISSIMMEE HEALTH CARE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KISSIMMEE HEALTH CARE ASSOCIATES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Jul 2001 (24 years ago) |
| Date of dissolution: | 01 Feb 2012 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 01 Feb 2012 (13 years ago) |
| Document Number: | L01000012568 |
| FEI/EIN Number |
582639452
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US |
| Address: | 1120 WEST DONEGAN AVENUE, KISSIMMEE, FL, 34741, US |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427003763 | 2006-05-24 | 2012-09-27 | 1120 W DONEGAN AVE, KISSIMMEE, FL, 347412247, US | 1120 W DONEGAN AVE, KISSIMMEE, FL, 347412247, US | |||||||||||||||||||||||||
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| Phone | +1 407-847-2854 |
| Fax | 4079944184 |
Authorized person
| Name | TYRUS D. HAWKINS |
| Role | MANAGER |
| Phone | 4078472854 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 130471039 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031756000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| ALICEA JOSE D | Manager | 1120 WEST DONEGAN AVENUE, KISSIMMEE, FL, 34741 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000082974 | LAKESIDE OAKS CARE CENTER | EXPIRED | 2011-08-22 | 2016-12-31 | - | 1061 VIRGINIA STREET, DUNEDIN, FL, 34698-7326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2012-02-01 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131287. MERGER NUMBER 300000119913 |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-22 | 1120 WEST DONEGAN AVENUE, KISSIMMEE, FL 34741 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-22 | 1120 WEST DONEGAN AVENUE, KISSIMMEE, FL 34741 | - |
| REGISTERED AGENT NAME CHANGED | 2005-04-12 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-12 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| AMENDED AND RESTATEDARTICLES | 2004-04-29 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000224801 | TERMINATED | 1000000253533 | OSCEOLA | 2012-03-13 | 2032-03-28 | $ 6,135.29 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 5050 W TENNESSEE ST, TALLAHASSEE FL323996586 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-04-27 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-05-01 |
| ANNUAL REPORT | 2006-04-20 |
| ANNUAL REPORT | 2005-04-29 |
| Reg. Agent Change | 2005-04-12 |
| Amended and Restated Articles | 2004-04-29 |
| ANNUAL REPORT | 2004-04-20 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
