| Entity Name: | FLORIDA ASSISTANT LIVING ORGANIZATION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA ASSISTANT LIVING ORGANIZATION LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Jul 2010 (15 years ago) |
| Date of dissolution: | 22 Sep 2017 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (8 years ago) |
| Document Number: | L10000075050 |
| FEI/EIN Number |
273081056
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 219 SE ABERNATHY WAY, MADISON, FL, 32340 |
| Mail Address: | 219 SE ABERNATHY WAY, MADISON, FL, 32340 |
| ZIP code: | 32340 |
| County: | Madison |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194135525 | 2014-05-07 | 2014-05-07 | 458 NW MARION ST, MADISON, FL, 323401431, US | 219 SE ABERNATHY WAY, MADISON, FL, 323407044, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 850-973-2348 |
| Phone | +1 850-973-2415 |
Authorized person
| Name | WILLIE M. PEACOCK |
| Role | ADMINISTRATOR |
| Phone | 8509732348 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12141 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003217203 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PEACOCK WILLIE | Managing Member | 219 SE ABERNATHY WAY, MADISON, FL, 32340 |
| PEACOCK WILLIE | Agent | 219 SE ABERNATHY WAY, MADISON, FL, 32340 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000032810 | FLORIDA ASSISTANT LIVING ORGANIZATION HILL | EXPIRED | 2013-04-05 | 2018-12-31 | - | 458 N.W. MARION ST, MADISON, FL, 32340 |
| G13000032811 | FLORIDA ASSISTANT LIVING ORGANIZATION CHATEAU | EXPIRED | 2013-04-05 | 2018-12-31 | - | 240 S.E. STEPHEN ST, MADISON, FL, 32340 |
| G12000099401 | FLORIDA ASSISTANT LIVING ORGANIZATION LAKESHORE | EXPIRED | 2012-10-15 | 2017-12-31 | - | 585 LAKESHORE DRIVE, MADISON, FL, 32340 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| LC DISSOCIATION MEM | 2016-05-24 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-01-04 | PEACOCK, WILLIE | - |
| REINSTATEMENT | 2016-01-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| REINSTATEMENT | 2014-12-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| REINSTATEMENT | 2013-11-05 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| LC AMENDMENT | 2012-07-16 | - | - |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2016-05-24 |
| CORLCDSMEM | 2016-05-24 |
| REINSTATEMENT | 2016-01-04 |
| REINSTATEMENT | 2014-12-04 |
| Reinstatement | 2013-11-05 |
| LC Amendment | 2012-07-16 |
| Reinstatement | 2012-03-05 |
| Florida Limited Liability | 2010-07-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
