| Entity Name: | RADIKA SIMS ADULT FAMILY CARE HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 01 Feb 2012 (13 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L12000015068 |
| FEI/EIN Number | 45-4332966 |
| Address: | 716 Cristelle Jean Drive, Ruskin, FL, 33570, US |
| Mail Address: | 716 Cristelle Jean Drive, Ruskin, FL, 33570, US |
| ZIP code: | 33570 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649613001 | 2013-04-16 | 2013-04-16 | 720 CRISTELLE JEAN DR, RUSKIN, FL, 335707930, US | 720 CRISTELLE JEAN DR, RUSKIN, FL, 335707930, US | |||||||||||||||||||||||||
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| Phone | +1 813-494-8785 |
| Fax | 8134194327 |
Authorized person
| Name | MRS. RADIKA SIMS |
| Role | OWNER |
| Phone | 8134948785 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6906519 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004510200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIMS RADIKA | Agent | 716 Cristelle Jean Drive, Ruskin, FL, 33570 |
| Name | Role | Address |
|---|---|---|
| SIMS RADIKA | Manager | 716 Cristelle Jean Drive, Ruskin, FL, 33570 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-27 | 716 Cristelle Jean Drive, Ruskin, FL 33570 | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-27 | 716 Cristelle Jean Drive, Ruskin, FL 33570 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-27 | 716 Cristelle Jean Drive, Ruskin, FL 33570 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-18 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-13 |
| ANNUAL REPORT | 2017-05-03 |
| ANNUAL REPORT | 2016-03-24 |
| ANNUAL REPORT | 2015-02-14 |
| ANNUAL REPORT | 2014-04-08 |
| ANNUAL REPORT | 2013-03-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
