| Entity Name: | CROWN SENIOR SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 Oct 2007 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L07000108685 |
| FEI/EIN Number | 383767491 |
| Address: | 418 CANARY ISLAND CIR, DAVENPORT, FL, 33837 |
| Mail Address: | 418 CANARY ISLAND CIR, DAVENPORT, FL, 33837 |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104085307 | 2008-06-03 | 2008-06-04 | 418 CANARY ISLAND CIR, DAVENPORT, FL, 338375553, US | 418 CANARY ISLAND CIR, DAVENPORT, FL, 338375553, US | |||||||||||||||||||||||||||||||
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| Phone | +1 863-424-6306 |
Authorized person
| Name | JUDITH RENE FIGAREAU |
| Role | OWNER |
| Phone | 8634246306 |
Taxonomy
| Taxonomy Code | 372600000X - Adult Companion |
| License Number | 230388 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 376J00000X - Homemaker |
| License Number | 230388 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693590700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FIGAREAU HEROLD | Agent | 418 CANARY ISLAND CIR, DAVENPORT, FL, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| FIGAREAU JUDITH | Manager | 418 CANARY ISLAND CIR, DAVENPORT, FL, 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-30 |
| Florida Limited Liability | 2007-10-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
