| Entity Name: | LYFE CHANGES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Dec 2013 (11 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L13000166883 |
| FEI/EIN Number | 46-4211697 |
| Address: | 5350 Windsor Lake Cir, Sanford, FL 32773 |
| Mail Address: | 5350 Windsor Lake Cir, Sanford, FL 32773 |
| ZIP code: | 32773 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780123331 | 2017-02-15 | 2017-02-15 | 7415 GATEHOUSE CIR, APT 180, ORLANDO, FL, 328076011, US | 7415 GATEHOUSE CIR, APT 180, ORLANDO, FL, 328076011, US | |||||||||||||||||||||||||
|
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| Phone | +1 407-314-0383 |
| Fax | 4079643238 |
Authorized person
| Name | JAMES J YOUNG |
| Role | MANAGING MEMBER |
| Phone | 4073140383 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014194400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YOUNG, JAMES | Agent | 5350 Windsor Lake Cir, Sanford, FL 32773 |
| Name | Role | Address |
|---|---|---|
| YOUNG, JAMES | Managing Member | 7415 GATEHOUSE CIRCLE, APT. 180 ORLANDO, FL 32807 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-18 | 5350 Windsor Lake Cir, Sanford, FL 32773 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-18 | 5350 Windsor Lake Cir, Sanford, FL 32773 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-18 | 5350 Windsor Lake Cir, Sanford, FL 32773 | No data |
| REINSTATEMENT | 2014-10-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2020-08-10 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-02-18 |
| ANNUAL REPORT | 2018-01-14 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-04-20 |
| REINSTATEMENT | 2014-10-29 |
| Florida Limited Liability | 2013-12-02 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
