| Entity Name: | FLORIDA PH-I, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 07 Aug 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L12000102234 |
| FEI/EIN Number | 46-1390301 |
| Address: | 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803 |
| Mail Address: | 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803 |
| ZIP code: | 33803 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831433531 | 2012-11-19 | 2012-11-19 | 16 LAKE HUNTER DR, LAKELAND, FL, 338031297, US | 16 LAKE HUNTER DR, LAKELAND, FL, 338031297, US | |||||||||||||||||||||||||
|
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| Phone | +1 863-577-6040 |
Authorized person
| Name | PATTY FEKETE |
| Role | ASST TREASURER/DIRECTOR OF FINANCE |
| Phone | 8635776040 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL4790 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130470964 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FEKETE PATTY | Agent | 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803 |
| Name | Role |
|---|---|
| FLORIDA PRESBYTERIAN HOMES, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000002218 | FLORIDA PRESBYTERIAN HOME SERVICES | EXPIRED | 2014-01-07 | 2024-12-31 | No data | 16 LAKE HUNTER DRIVE, LAKELAND, FL, 33803 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-05-01 | FEKETE, PATTY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-05-01 |
| Florida Limited Liability | 2012-08-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
