| Entity Name: | DEBRA'S ADULT FAMILY CARE HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2013 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2019 (5 years ago) |
| Document Number: | L13000085959 |
| FEI/EIN Number | 833872552 |
| Address: | 14121 Devan Lee Drive West, JACKSONVILLE, FL, 32226, US |
| Mail Address: | 14121 Devan Lee Drive West, JACKSONVILLE, FL, 32226, US |
| ZIP code: | 32226 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083037329 | 2014-01-22 | 2014-01-22 | 3957 VICTORIA LAKES DR S, JACKSONVILLE, FL, 322260710, US | 3957 VICTORIA LAKES DR S, JACKSONVILLE, FL, 322260710, US | |||||||||||||||||
|
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| Phone | +1 904-379-0354 |
Authorized person
| Name | MS. DEBRA ALTHEA RICHARDS |
| Role | OWNER |
| Phone | 9043790354 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6906605 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RICHARDS DEBRA A | Agent | 14121 Devan Lee Drive West, JACKSONVILLE, FL, 32226 |
| Name | Role | Address |
|---|---|---|
| RICHARDS DEBRA A | Manager | 14121 Devan Lee Drive West, JACKSONVILLE, FL, 32226 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-10-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-10-01 | RICHARDS, DEBRA A | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-24 | 14121 Devan Lee Drive West, JACKSONVILLE, FL 32226 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-24 | 14121 Devan Lee Drive West, JACKSONVILLE, FL 32226 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-24 | 14121 Devan Lee Drive West, JACKSONVILLE, FL 32226 | No data |
| REINSTATEMENT | 2014-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-03-29 |
| ANNUAL REPORT | 2022-02-08 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-04-30 |
| REINSTATEMENT | 2019-10-01 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-01 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
