| Entity Name: | ACV COMMUNITY SERVICES, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jun 2003 (22 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 05 Apr 2017 (8 years ago) |
| Document Number: | L03000024994 |
| FEI/EIN Number | 54-2118733 |
| Address: | 10680 DOWLING PARK DR, LIVE OAK, FL 32060 |
| Mail Address: | P.O. BOX 4675, DOWLING PARK, FL 32064 |
| ZIP code: | 32060 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740344563 | 2006-12-19 | 2008-10-06 | PO BOX 4675, DOWLING PARK, FL, 320641507, US | 10676 MARVIN E. JONES BLVD, LIVE OAK, FL, 32060, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 386-658-5450 |
| Fax | 3866585111 |
| Phone | +1 386-658-5552 |
| Fax | 3866585535 |
Authorized person
| Name | CRAIG A. CARTER |
| Role | PRESIDENT/CEO |
| Phone | 3866585500 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11911091 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 650757301 |
| State | FL |
| Issuer | MEDICAID |
| Number | 141244200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kennon, Todd | Agent | 582 W Duval St, Lake City, FL 32056 |
| Name | Role | Address |
|---|---|---|
| CARTER, CRAIG | Manager | 10680 DOWLING PARK DR, LIVE OAK, FL 32060 |
| Name | Role | Address |
|---|---|---|
| CARTER, CRAIG | Chairman | 10680 DOWLING PARK DR, LIVE OAK, FL 32060 |
| Name | Role | Address |
|---|---|---|
| Edquid, Mark | Vice Chairman | 23329 Live Oak Lane, Live Oak, FL 32060 |
| Hilliard, Keri | Vice Chairman | 10233 229th Lane, Live Oak, FL 32060 |
| Name | Role | Address |
|---|---|---|
| Hilliard, Keri | Co | 10233 229th Lane, Live Oak, FL 32060 |
| Name | Role | Address |
|---|---|---|
| Hilliard, Keri | Secretary | 10233 229th Lane, Live Oak, FL 32060 |
| Name | Role | Address |
|---|---|---|
| Willis, Michael | Treasurer | 10680 Dowling Park Drive, Live Oak, FL 32060 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G03267700136 | ADVENT CHRISTIAN VILLAGE HOME CARE AGENCY | ACTIVE | 2003-09-24 | 2028-12-31 | No data | PO BOX 4403, DOWLING PARK, FL, 32064 |
| G03261700009 | SUWANNEE RIVER CONFERENCE & | ACTIVE | 2003-09-18 | 2028-12-31 | No data | RETREAT CENTER, 11057 COUNTY RD 136, LIVE OAK, FL, 32060 |
| G03259700081 | COPELAND CLINIC | ACTIVE | 2003-09-16 | 2028-12-31 | No data | PO BOX 4310, DOWLING PARK, FL, 32064 |
| G03241700113 | DACIER MANOR | ACTIVE | 2003-08-29 | 2028-12-31 | No data | PO BOX 4551, DOWLING PARK, FL, 32064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-04-03 | Kennon, Todd | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-03 | 582 W Duval St, Lake City, FL 32056 | No data |
| LC AMENDMENT | 2017-04-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-05 | 10680 DOWLING PARK DR, LIVE OAK, FL 32060 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-05 | 10680 DOWLING PARK DR, LIVE OAK, FL 32060 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-09-16 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-16 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-04-27 |
| LC Amendment | 2017-04-05 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
