| Entity Name: | CROSSROADS CARING HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Sep 2014 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L14000148832 |
| FEI/EIN Number | 47-1906898 |
| Address: | 2563 RIVER RD, CARYVILLE, FL, 32427 |
| Mail Address: | 2387 JOE WHITE RD, BONIFAY, FL, 32425 |
| ZIP code: | 32427 |
| County: | Washington |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720471220 | 2015-03-09 | 2015-03-09 | 2563 RIVER RD, CARYVILLE, FL, 324272013, US | 2563 RIVER ROAD, CARYVILLE, FL, 32427, US | |||||||||||||||
|
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| Phone | +1 850-535-4267 |
Authorized person
| Name | CLIFTON HAMMACK |
| Role | PRESIDENT |
| Phone | 8507689672 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL12630 |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAMMACK CLIFTON R | Agent | 2387 JOE WHITE RD, BONIFAY, FL, 32425 |
| Name | Role | Address |
|---|---|---|
| HAMMACK CLIFTON R | Manager | 2387 JOE WHITE RD, BONIFAY, FL, 32425 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000418673 | LAPSED | 16-213-1A | LEON | 2018-05-08 | 2023-06-21 | $8,731.96 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-02-24 |
| Florida Limited Liability | 2014-09-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
