| Entity Name: | HAMPTON MANOR OF ORMOND BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 25 Jan 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L10000008893 |
| FEI/EIN Number | 271855881 |
| Mail Address: | 1740 SE 18th Street, Suite 902, OCALA, FL, 34471, US |
| Address: | 1050 OCEAN SHORE BLVD, ORMOND BEACH, FL, 32176 |
| ZIP code: | 32176 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184944472 | 2010-06-09 | 2010-06-09 | 1050 OCEAN SHORE BLVD, ORMOND BEACH, FL, 321764126, US | 1050 OCEAN SHORE BLVD, ORMOND BEACH, FL, 321764126, US | |||||||||||||||||||
|
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| Phone | +1 386-441-1771 |
| Fax | 3864411778 |
Authorized person
| Name | PEDER JOHNSEN |
| Role | CEO |
| Phone | 3523871830 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL8860 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Slattery Kristen | Agent | 1740 SE 18th Street, Ocala, FL, 34471 |
| Name | Role | Address |
|---|---|---|
| JOHNSEN PEDER | Managing Member | 1740 SE 18th Street, Suite 902, OCALA, FL, 34471 |
| WATKINS RANDOLPH T | Managing Member | 1740 SE 18th Street, Suite 902, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-25 | Slattery, Kristen | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-25 | 1740 SE 18th Street, Suite 902, Ocala, FL 34471 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-16 | 1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-27 | 1050 OCEAN SHORE BLVD, ORMOND BEACH, FL 32176 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-15 |
| ANNUAL REPORT | 2014-04-16 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-04-26 |
| ANNUAL REPORT | 2011-04-27 |
| Florida Limited Liability | 2010-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
