| Entity Name: | CMOJULES,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Apr 2011 (14 years ago) |
| Document Number: | L11000045434 |
| FEI/EIN Number | 451769875 |
| Address: | 2331 PEMBROOK DR., CLEARWATER, FL, 33764 |
| Mail Address: | 1453 Belleair rd, CLEARWATER, FL, 33756, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184965097 | 2013-03-04 | 2013-03-04 | 2331 PEMBROOK DR, CLEARWATER, FL, 337646548, US | 2331 PEMBROOK DR, CLEARWATER, FL, 337646548, US | |||||||||||||||||||
|
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| Phone | +1 727-536-5865 |
Authorized person
| Name | MR. COLLIN B MULDER |
| Role | ADMINISTRATOR/OWNER |
| Phone | 7275365865 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003855600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MULDER COLLIN B | Agent | 2331 PEMBROOK DR., CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| MULDER COLLIN B | Manager | 2331 PEMBROOK DR., CLEARWATER, FL, 33764 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000030122 | LIGHTHOUSE DAY CENTER | ACTIVE | 2022-02-28 | 2027-12-31 | No data | 2331 PEMBROOK DRIVE, CLEARWATER, FL, 33764 |
| G18000101759 | BELLEAIR HOME | ACTIVE | 2018-09-14 | 2028-12-31 | No data | 2331 PEMBROOK DRIVE, CLEARWATER, FL, 33764 |
| G15000049931 | PEMBROOK GROUP HOME,LLC | ACTIVE | 2015-05-20 | 2025-12-31 | No data | 2331 PEMBROOK DR., CLEARWATER, FL, 33764 |
| G11000069989 | PEMBROKE PLACE ALF | EXPIRED | 2011-07-13 | 2016-12-31 | No data | 2331 PEMBROKE DR., CLEARWATER, FL, 33764 |
| G11000067608 | PEMBROOK PLACE ALF | EXPIRED | 2011-07-05 | 2016-12-31 | No data | 2331 PEMBROOK DR., CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 2331 PEMBROOK DR., CLEARWATER, FL 33764 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-04 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-12 |
| ANNUAL REPORT | 2016-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
