| Entity Name: | VISTA MANOR HEALTH CARE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
VISTA MANOR 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: | L01000012580 |
| FEI/EIN Number |
582639488
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US |
| Address: | 1550 JESS PARRISH COURT, TITUSVILLE, FL, 32796, US |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033165436 | 2006-05-26 | 2013-03-22 | 1550 JESS PARRISH CT, TITUSVILLE, FL, 327962147, US | 1550 JESS PARRISH CT, TITUSVILLE, FL, 327962147, US | |||||||||||||||||||||||||
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| Phone | +1 321-269-2200 |
| Fax | 3213834990 |
Authorized person
| Name | DEBRA A. WALLACE |
| Role | MANAGER |
| Phone | 3212692200 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1580096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025252200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLINTON LAURY J | Manager | 1550 JESS PARRISH COURT, TITUSVILLE, FL, 32796 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2012-02-01 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131352. MERGER NUMBER 700000119987 |
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 1550 JESS PARRISH COURT, TITUSVILLE, FL 32796 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-29 | 1550 JESS PARRISH COURT, TITUSVILLE, FL 32796 | - |
| 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 | 2004-08-09 | - | - |
| AMENDED AND RESTATEDARTICLES | 2004-04-07 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-27 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-05-01 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-04-29 |
| ANNUAL REPORT | 2005-04-29 |
| Reg. Agent Change | 2005-04-12 |
| Amended and Restated Articles | 2004-08-09 |
| ANNUAL REPORT | 2004-04-20 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DO | AWARD | V673P5428FY08 | 2007-10-01 | 2008-09-30 | 2008-09-30 | |||||||||||||||||||||
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| Title | COMMUNITY NURSING HOME EXPENDITURE - FY08 |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | VISTA MANOR HEALTH CARE ASSOCIATES, LLC |
| UEI | WFV8PGD7MHA3 |
| Legacy DUNS | 145193632 |
| Recipient Address | 1550 JESS PARRISH COURT, TITUSVILLE, 327962154, UNITED STATES |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
