| Entity Name: | GODWIN HOUSE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Mar 2006 (19 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L06000033171 |
| FEI/EIN Number | 204592732 |
| Address: | 40 BAHIA TRACE COURSE, OCALA, FL, 34472 |
| Mail Address: | 40 BAHIA TRACE COURSE, OCALA, FL, 34472 |
| ZIP code: | 34472 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083869994 | 2008-11-19 | 2008-11-19 | 1215 NW 15TH AVE, OCALA, FL, 344755027, US | 1215 NW 15TH AVE, OCALA, FL, 344755027, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-620-8988 |
| Fax | 3526295344 |
Authorized person
| Name | MRS. ROSEMARY GRAHAM GODWIN |
| Role | OWNER |
| Phone | 3524844131 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| License Number | L06000033171 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| License Number | L06000033171 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 690624996 |
| State | FL |
| Issuer | MEDICAID |
| Number | 690951596 |
| State | FL |
| Issuer | MEDICAID |
| Number | 690951598 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GODWIN ROSEMARY G | Agent | 40 BAHIA TRACE COURSE, OCALA, FL, 34472 |
| Name | Role | Address |
|---|---|---|
| GODWIN ROSEMARY G | Manager | 40 BAHIA TRACE COURSE, OCALA, FL, 34472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-03 | 40 BAHIA TRACE COURSE, OCALA, FL 34472 | No data |
| REINSTATEMENT | 2012-02-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-02-03 | 40 BAHIA TRACE COURSE, OCALA, FL 34472 | No data |
| CHANGE OF MAILING ADDRESS | 2012-02-03 | 40 BAHIA TRACE COURSE, OCALA, FL 34472 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| REINSTATEMENT | 2010-11-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2012-02-03 |
| REINSTATEMENT | 2010-11-15 |
| ANNUAL REPORT | 2009-05-04 |
| ANNUAL REPORT | 2008-05-31 |
| ANNUAL REPORT | 2007-05-06 |
| Florida Limited Liability | 2006-03-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
