| Entity Name: | PINEWOOD ESTATES ASSISTED LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 15 Jul 2014 (11 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L14000111470 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 4055 PINEWOOD ROAD, MELBOURNE, FL 32934 |
| Mail Address: | POST OFFICE BOX 640902, MIAMI, FL 33164 |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174992622 | 2015-09-15 | 2015-09-15 | PO BOX 640902, MIAMI, FL, 331640902, US | 4055 PINEWOOD RD, MELBOURNE, FL, 329349053, US | |||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 786-376-4043 |
Authorized person
| Name | MR. PETER D. FELLOWS |
| Role | DIRECTOR |
| Phone | 7863764043 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12678 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL12678 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | AL12678 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| License Number | AL12678 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FELLOWS, PETER D | Agent | 4055 PINEWOOD RD, ATTENTION: PETER D. FELLOWS, MELBOURNE, FL 32934 |
| Name | Role | Address |
|---|---|---|
| FELLOWS, PETER D | Manager | PO Box 640902, MIAMI, FL 33164 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000093435 | PINEWOOD ESTATES | EXPIRED | 2014-09-12 | 2019-12-31 | No data | PO BOX 640631, MIAMI, FL, 33164 |
| G14000092916 | PINEWOOS ESTATES | EXPIRED | 2014-09-11 | 2019-12-31 | No data | PO BOX 640631, MIAMI, FL, 33164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REINSTATEMENT | 2015-10-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-29 | 4055 PINEWOOD ROAD, MELBOURNE, FL 32934 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-29 | FELLOWS, PETER D | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-29 | 4055 PINEWOOD RD, ATTENTION: PETER D. FELLOWS, MELBOURNE, FL 32934 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| REINSTATEMENT | 2015-10-29 |
| Florida Limited Liability | 2014-07-15 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
