| Entity Name: | RUDY'S AGAPE HOUSE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Jun 2011 (14 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L11000073679 |
| FEI/EIN Number | 452609955 |
| Address: | 2104 55th Avenue W, BRADENTON, FL, 34207, US |
| Mail Address: | 2104 55th Avenue W, BRADENTON, FL, 34207, US |
| ZIP code: | 34207 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114472263 | 2016-08-18 | 2016-08-18 | 5426 18TH ST W, BRADENTON, FL, 342073305, US | 2104 55TH AVE W, BRADENTON, FL, 342073240, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 941-756-0200 |
| Fax | 9414604304 |
| Phone | +1 941-755-0225 |
Authorized person
| Name | NANCY E CUSHMAN |
| Role | OWNER |
| Phone | 9417560200 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12857 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004296700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CUSHMAN NANCY E | Agent | 1502 27TH ST W, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| CUSHMAN NANCY E | Managing Member | 1502 27TH ST W, BRADENTON, FL, 34205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-05 | 2104 55th Avenue W, BRADENTON, FL 34207 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-05 | 2104 55th Avenue W, BRADENTON, FL 34207 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-02-29 |
| ANNUAL REPORT | 2015-01-12 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-03-06 |
| ANNUAL REPORT | 2012-04-11 |
| Florida Limited Liability | 2011-06-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
