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BLUE FOUNTAIN HOME CARE,LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DELINOIS MAGDA Agent 2440 EMERSON DRIVE SE, PALM BAY, FL, 32909

Manager

Name Role Address
MAGDA DELINOIS Manager 2440 EMERSON DRIVE SE, PALM BAY, FL, 32909

Events

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

Documents

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