| Entity Name: | VILLA COURT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Jul 2008 (17 years ago) |
| Document Number: | L08000064380 |
| FEI/EIN Number | 262950454 |
| Address: | 1992 Queen Street, North Fort Myers, FL, 33917, US |
| Mail Address: | P.O. BOX 51257, FORT MYERS, FL, 33994 |
| ZIP code: | 33917 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528301405 | 2013-03-29 | 2013-03-29 | 1992 QUEEN ST, NORTH FORT MYERS, FL, 339173942, US | 1992 QUEEN ST, NORTH FORT MYERS, FL, 339173942, US | |||||||||||||||||||||||
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| Phone | +1 239-656-2887 |
Authorized person
| Name | PHYLLIS RUSS |
| Role | OWNER |
| Phone | 2396562887 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11807 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002649500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PHYLLIS RUSS | Agent | 1992 QUEEN ST, NORTH FORT MYERS, FL, 33917 |
| Name | Role | Address |
|---|---|---|
| RUSS PHYLLIS | Manager | 1992 QUEEN STREET, NORTH FORT MYERS, FL, 33917 |
| Name | Role | Address |
|---|---|---|
| RUSS PHYLLIS | Secretary | 1992 QUEEN STREET, NORTH FORT MYERS, FL, 33917 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-08 | 1992 Queen Street, North Fort Myers, FL 33917 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-07-13 | PHYLLIS, RUSS | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-07-13 | 1992 QUEEN ST, NORTH FORT MYERS, FL 33917 | No data |
| CHANGE OF MAILING ADDRESS | 2009-01-16 | 1992 Queen Street, North Fort Myers, FL 33917 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-06-08 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-14 |
| ANNUAL REPORT | 2019-01-14 |
| ANNUAL REPORT | 2018-02-02 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-01-22 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
