| Entity Name: | DEVINE ADULT FAMILY CARE HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Feb 2015 (10 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L15000033645 |
| FEI/EIN Number | 81-1388545 |
| Address: | 7913 SW 3RD STREET, NORTH LAUDERDALE, FL, 33068 |
| Mail Address: | 7913 SW 3RD STREET, NORTH LAUDERDALE, FL, 33068 |
| ZIP code: | 33068 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073969317 | 2016-05-05 | 2016-05-05 | 7913 SW 3RD ST, NORTH LAUDERDALE, FLORIDA, 33319, UM | 7913 SW 3RD ST, NORTH LAUDERDALE, FL, 330681103, US | |||||||||||||||||||||
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| Phone | +1 954-515-2104 |
Authorized person
| Name | LOUNA DEVELIS |
| Role | CEO |
| Phone | 9545152104 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6906841 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | 311ZA0620X |
| Number | N/A |
| Name | Role | Address |
|---|---|---|
| DEVELIS LOUNA MS | Agent | 7913 SW 3RD STREET, NORTH LAUDERDALE, FL, 33068 |
| Name | Role | Address |
|---|---|---|
| DEVELIS LOUNA MS | Manager | 7913 SW 3RD STREET, NORTH LAUDERDALE, FL, 33068 |
| MOISE EDOUARD SR. | Manager | 7913 SW 3RD STREET, NORTH LAUDERDALE, FL, 33068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-03-12 |
| Florida Limited Liability | 2015-02-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
