| Entity Name: | CARING HANDS RESIDENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Jul 2013 (12 years ago) |
| Date of dissolution: | 12 Dec 2018 (6 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 12 Dec 2018 (6 years ago) |
| Document Number: | L13000107987 |
| FEI/EIN Number | 46-3346534 |
| Address: | 1661 REDFIN DR, POINCIANA, FL, 34759, US |
| Mail Address: | 3054 STILLWATER DR, KISSIMMEE, FL, 34743, US |
| ZIP code: | 34759 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902274897 | 2015-09-09 | 2015-09-09 | 1661 REDFIN DR, POINCIANA, FL, 347594709, US | 1661 REDFIN DR, POINCIANA, FL, 347594709, US | |||||||||||||||||||||||||
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| Phone | +1 863-496-7260 |
| Fax | 8634965428 |
Authorized person
| Name | MS. LISA J MCMILLAN |
| Role | ALF, ADMINISTARTOR |
| Phone | 4078733662 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12559 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013894500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCMILLAN LISA J | Agent | 3054 STILLWATER DR, KISSIMMEE, FL, 34743 |
| Name | Role | Address |
|---|---|---|
| MCMILLAN LISA J | ALF | 3054 STILLWATER DR, KISSIMMEE, FL, 34743 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2018-12-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-05 | 1661 REDFIN DR, POINCIANA, FL 34759 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-03-05 | 3054 STILLWATER DR, KISSIMMEE, FL 34743 | No data |
| LC AMENDMENT AND NAME CHANGE | 2014-02-06 | CARING HANDS RESIDENCE, LLC | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-06 | 1661 REDFIN DR, POINCIANA, FL 34759 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2018-12-12 |
| ANNUAL REPORT | 2018-02-06 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-03-05 |
| ANNUAL REPORT | 2015-03-05 |
| LC Amendment and Name Change | 2014-02-06 |
| ANNUAL REPORT | 2014-01-31 |
| Florida Limited Liability | 2013-07-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
