| Entity Name: | ORCHID ISLAND MANOR, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Sep 2003 (21 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L03000035105 |
| FEI/EIN Number | 593784431 |
| Address: | 1914 21ST STREET, VERO BEACH, FL, 32960 |
| Mail Address: | 1914 21ST STREET, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316298615 | 2012-09-26 | 2012-09-26 | 1914 21ST ST, VERO BEACH, FL, 329603489, US | 1914 21ST ST, VERO BEACH, FL, 329603489, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 772-567-6769 |
| Fax | 7725675289 |
Authorized person
| Name | DIANE E. LUBRANO |
| Role | OWNER |
| Phone | 7725676769 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL4941 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 677642600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUBRANO DIANE | Agent | 1914 21ST ST, VERO BEACH, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| LUBRANO DIANE | Manager | 1914 21ST STREET, VERO BEACH, FL, 32960 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-17 | 1914 21ST STREET, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-02-28 | LUBRANO, DIANE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-02-28 | 1914 21ST ST, VERO BEACH, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-04-19 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-04-12 |
| ANNUAL REPORT | 2013-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
