| Entity Name: | PECAN TREE HOLDINGS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 14 Jun 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L10000063029 |
| FEI/EIN Number | 80-0651226 |
| Address: | 516 S SEA LAKE LANE, PONTE VEDRA BEACH, FL 32082 |
| Mail Address: | 516 S SEA LAKE LANE, PONTE VEDRA BEACH, FL 32082 |
| ZIP code: | 32082 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851734768 | 2013-04-10 | 2013-04-10 | 201 NE 1ST AVE, HIGH SPRINGS, FL, 326439444, US | 201 NE 1ST AVE, HIGH SPRINGS, FL, 326439444, US | |||||||||||||||||||||||||
|
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| Phone | +1 386-454-0801 |
| Fax | 3864544436 |
Authorized person
| Name | MRS. META B MCCLAIN |
| Role | ED |
| Phone | 3864540801 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11967 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003409700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MORRIS, GREGORY D | Agent | 516 S SEA LAKE LANE, PONTE VEDRA BEACH, FL 32082 |
| Name | Role | Address |
|---|---|---|
| MORRIS, GREGORY D | Managing Member | 516 S SEA LAKE LANE, PONTE VEDRA BEACH, FL 32082 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000030216 | PLANTATION OAKS SENIOR LIVING RESIDENCE | EXPIRED | 2016-03-23 | 2021-12-31 | No data | 516 S SEA LAKE LANE, PONTE VEDRA BEACH, FL, 32082 |
| G10000118977 | PLANTATION OAKS SENIOR LIVING RESIDENCE | EXPIRED | 2010-12-28 | 2015-12-31 | No data | 13770 58TH STREET N, STE 312, CLEARWATER, FL, 33760 |
| G10000111415 | HIGH SPRINGS SENIOR LIVING | EXPIRED | 2010-12-07 | 2015-12-31 | No data | 201 NE FIRST AVENUE, HIGH SPRINGS, FL, 32643 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-28 | 516 S SEA LAKE LANE, PONTE VEDRA BEACH, FL 32082 | No data |
| LC AMENDMENT | 2016-10-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000081018 | ACTIVE | 01-2022-CA-000897 | 8TH JUDICIAL CIRCUIT - ALACHUA | 2022-11-23 | 2028-02-27 | $3033656 | LINDA STUMP-KURNICK AS PR OF ESTATE OF CAROLYN STUMP, C/O MICHAEL TESSITORE 111 N. ORANGE AVE, SUITE 900, ORLANDO FL 32801 |
| J17000467508 | TERMINATED | 1000000753003 | ALACHUA | 2017-08-07 | 2027-08-11 | $ 7,626.72 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, SARASOTA SERVICE CENTER, 1991 MAIN ST STE 240, SARASOTA FL342365940 |
| J15000898623 | TERMINATED | 2015-CA-000484 | NINTH JUDICIAL CIRCUIT COURT | 2015-09-09 | 2020-09-18 | $27,567.55 | HALSCOTT INDUSTRIES, INC., 501 N. MAGNOLIA AVENUE, A10-A, ORLANDO, FL, 32801 |
| J14000338227 | TERMINATED | 1000000592767 | ALACHUA | 2014-03-05 | 2024-03-13 | $ 1,388.09 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ALACHUA SERVICE CENTER, 14107 NW US HIGHWAY 441 STE0 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-17 |
| LC Amendment | 2016-10-28 |
| ANNUAL REPORT | 2016-03-11 |
| ANNUAL REPORT | 2015-02-26 |
| ANNUAL REPORT | 2014-02-26 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
