| Entity Name: | WISTERIA ELDERLY CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 31 Oct 2011 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Oct 2012 (12 years ago) |
| Document Number: | L11000123556 |
| FEI/EIN Number | 453755030 |
| Address: | 189 DONALD AVE NE, PALM BAY, FL, 32907 |
| Mail Address: | 189 DONALD AVE NE, PALM BAY, FL, 32907 |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154664043 | 2013-03-29 | 2013-03-29 | 189 DONALD AVE NE, PALM BAY, FL, 329073158, US | 189 DONALD AVE NE, PALM BAY, FL, 329073158, US | |||||||||||||||||||||||||||
|
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| Phone | +1 321-345-4177 |
| Fax | 3213454177 |
Authorized person
| Name | MRS. WITZA LARIONNE |
| Role | OWNER |
| Phone | 3213454177 |
Taxonomy
| Taxonomy Code | 347C00000X - Private Vehicle |
| License Number | 232475 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| License Number | 6906533 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LARIONNE WITZA L | Agent | 189 DONALD AVE NE, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| LARIONNE WITZA L | Manager | 189 DONALD AVE NE, PALM BAY, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| LARIONNE ERICLEN | Managing Member | 940 DEGROODT RD SW, PALM BAY, FL, 32908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2012-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-15 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-19 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-04-02 |
| ANNUAL REPORT | 2016-03-31 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
