Entity Name: | BLUE FOUNTAIN HOME CARE,LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 10 Mar 2014 (11 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 01 Oct 2019 (5 years ago) |
Document Number: | L14000039266 |
FEI/EIN Number | 46-5370343 |
Address: | 2440 EMERSON DRIVE SE, PALM BAY, FL, 32909, US |
Mail Address: | 2440 EMERSON DRIVE SE, PALM BAY, FL, 32909, US |
ZIP code: | 32909 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1073910840 | 2014-11-21 | 2014-11-21 | 2440 EMERSON DR SE, PALM BAY, FL, 329094972, US | 2440 EMERSON DR SE, PALM BAY, FL, 329094972, US | |||||||||||||||||||
|
Phone | +1 321-327-8762 |
Fax | 3219144069 |
Authorized person
Name | MAGDAD DELINOIS |
Role | ADMINISTRATOR/OWNER |
Phone | 9545593265 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL11411 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DELINOIS MAGDA | Agent | 2440 EMERSON DRIVE SE, PALM BAY, FL, 32909 |
Name | Role | Address |
---|---|---|
MAGDA DELINOIS | Manager | 2440 EMERSON DRIVE SE, PALM BAY, FL, 32909 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2019-10-01 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2016-05-23 | 2440 EMERSON DRIVE SE, PALM BAY, FL 32909 | No data |
REGISTERED AGENT NAME CHANGED | 2016-05-23 | DELINOIS, MAGDA | No data |
REGISTERED AGENT ADDRESS CHANGED | 2016-05-23 | 2440 EMERSON DRIVE SE, PALM BAY, FL 32909 | No data |
REINSTATEMENT | 2015-10-05 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-27 |
ANNUAL REPORT | 2023-04-30 |
ANNUAL REPORT | 2022-01-14 |
AMENDED ANNUAL REPORT | 2021-04-14 |
ANNUAL REPORT | 2021-01-30 |
ANNUAL REPORT | 2020-01-13 |
REINSTATEMENT | 2019-10-01 |
ANNUAL REPORT | 2018-04-26 |
ANNUAL REPORT | 2017-04-28 |
ANNUAL REPORT | 2016-05-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State