| Entity Name: | ORIGIN HOSPITALITY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Sep 2009 (15 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L09000092913 |
| FEI/EIN Number | 271007422 |
| Address: | 2910 OLD CANOE CREEK RD., SAINT CLOUD, FL, 34772 |
| Mail Address: | 11601 SHADOW CREEK PKWY STE 111-344, PEARLAND, TX, 77584 |
| ZIP code: | 34772 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841532025 | 2013-03-26 | 2019-09-25 | 17503 LA CANTERA PKWY #104618, SAN ANTONIO, TX, 78257, US | 2910 OLD CANOE CREEK RD, SAINT CLOUD, FL, 34772, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 832-385-2295 |
| Fax | 8555572835 |
| Phone | +1 407-593-1524 |
| Fax | 4075931525 |
Authorized person
| Name | MR. MITESH PATEL |
| Role | MANAGING MEMBER |
| Phone | 8323852295 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11478 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATEL MITESH H | Agent | 2910 OLD CANOE CREEK RD, SAINT CLOUD, FL, 34772 |
| Name | Role | Address |
|---|---|---|
| PATEL MITESH H | Managing Member | 12234 SHADOW CREEK PARKWAY #1100, PEARLAND, TX, 77584 |
| PATEL SHWETA M | Managing Member | 12234 SHADOW CREEK PARKWAY #1100, PEARLAND, TX, 77584 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000119231 | SILVER CREEK ASSISTED LIVING ST. CLOUD | EXPIRED | 2013-12-06 | 2018-12-31 | No data | 2910 OLD CANOE CREEK, SAINT CLOUD, FL, 34772 |
| G09000159768 | SUNSHINE QUEST ACRES | EXPIRED | 2009-09-28 | 2014-12-31 | No data | 2910 OLD CANOE CREEK RD, SAINT CLOUD, FL, 34722 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2012-04-05 | 2910 OLD CANOE CREEK RD., SAINT CLOUD, FL 34772 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-09 | 2910 OLD CANOE CREEK RD, SAINT CLOUD, FL 34772 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-08 |
| ANNUAL REPORT | 2017-01-20 |
| ANNUAL REPORT | 2016-01-28 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-03-19 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-02-09 |
| ANNUAL REPORT | 2010-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
