| Entity Name: | COUNTRY MANOR ASSISTED LIVING & RETIREMENT HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Nov 2007 (17 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L07000110625 |
| FEI/EIN Number | 262493482 |
| Mail Address: | 3101 ARCHER AVENUE, ORLANDO, FL, 32833 |
| Address: | 1152 OLD HAMMOCK RD., PORT ORANGE, FL, 32129 |
| ZIP code: | 32129 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104247717 | 2013-12-27 | 2013-12-27 | 1152 OLD HAMMOCK RD, PORT ORANGE, FL, 321295016, US | 1152 OLD HAMMOCK RD, PORT ORANGE, FL, 321295016, US | |||||||||||||||||||
|
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| Phone | +1 386-265-5935 |
| Fax | 3862655937 |
Authorized person
| Name | MR. ARNULFO SALGADO SIMONDAC |
| Role | ADMINISTRATOR |
| Phone | 3865896252 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 12025 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIMONDAC ARNULFO S | Agent | 3101 ARCHER AVENUE, ORLANDO, FL, 32833 |
| Name | Role | Address |
|---|---|---|
| SIMONDAC ARNULFO S | Managing Member | 3101 ARCHER AVE., ORLANDO, FL, 32833 |
| SIMONDAC LENEE | Managing Member | 3101 ARCHER AVE., ORLANDO, FL, 32833 |
| ROGADO RODELIO | Managing Member | 20424 MELVILLE AVE, ORLANDO, FL, 32833 |
| ROGADO CARIDAD | Managing Member | 20424 MELVILLE ST., ORLANDO, FL, 32833 |
| BENTINGANAN OSCAR | Managing Member | 3200 ABALONE BLVD., ORLANDO, FL, 32833 |
| BENTINGANAN SHIRLEY S | Managing Member | 3200 ABALONE BLVD., ORLANDO, FL, 32833 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REINSTATEMENT | 2013-10-17 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| LC AMENDMENT | 2010-12-13 | No data | No data |
| CANCEL ADM DISS/REV | 2008-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| LC AMENDMENT | 2008-04-30 | No data | No data |
| LC AMENDMENT | 2007-11-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2012-09-28 |
| ANNUAL REPORT | 2011-04-19 |
| LC Amendment | 2010-12-13 |
| ANNUAL REPORT | 2010-04-07 |
| ANNUAL REPORT | 2009-04-14 |
| REINSTATEMENT | 2008-10-01 |
| LC Amendment | 2008-04-30 |
| LC Amendment | 2007-11-26 |
| Florida Limited Liability | 2007-11-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
