| Entity Name: | HIDING PLACE ASSISTED LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 16 May 2011 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L11000057969 |
| FEI/EIN Number | 80-0731683 |
| Address: | 1444 E 26TH ST, JACKSONVILLE, FL 32206 |
| Mail Address: | P O Box 9334, JACKSONVILLE, FL 32208 |
| ZIP code: | 32206 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356785992 | 2013-04-25 | 2013-04-25 | 1444 E 26TH ST, JACKSONVILLE, FL, 322062505, US | 1444 E 26TH ST, JACKSONVILLE, FL, 322062505, US | |||||||||||||||||||||||
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| Phone | +1 904-608-1245 |
Authorized person
| Name | MRS. MARCIA JARRETT |
| Role | OWNER |
| Phone | 9046081245 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11675 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001596400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JARRETT, MARCIA | Agent | 1444 E 26TH ST, JACKSONVILLE, FL 32206 |
| Name | Role | Address |
|---|---|---|
| JARRETT, MARCIA | Managing Member | 1444 E 26TH ST, JACKSONVILLE, FL 32206 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-05-01 | 1444 E 26TH ST, JACKSONVILLE, FL 32206 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-05-01 | 1444 E 26TH ST, JACKSONVILLE, FL 32206 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-28 | 1444 E 26TH ST, JACKSONVILLE, FL 32206 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-05-01 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-04-28 |
| FEI # UPDATE | 2011-06-30 |
| Florida Limited Liability | 2011-05-16 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
