Entity Name: | FOCUS FORWARD SKILLED CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 02 Mar 2015 (10 years ago) |
Date of dissolution: | 27 Sep 2024 (4 months ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 27 Sep 2024 (4 months ago) |
Document Number: | L15000037463 |
FEI/EIN Number | 47-3272425 |
Address: | 12424 Research Pwy, ORLANDO, FL, 32826, US |
Mail Address: | 12424 Research Pkwy, Orlando, FL, 32826, US |
ZIP code: | 32826 |
County: | Orange |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1083007538 | 2015-03-09 | 2022-10-13 | 3333 S CONGRESS AVE STE 100, DELRAY BEACH, FL, 334457300, US | 12424 RESEACH PKWAY, STE 200, ORLANDO, FL, 328263269, US | |||||||||||||||||||||||||||||||
|
Phone | +1 561-274-4149 |
Fax | 5614501443 |
Phone | +1 407-420-7254 |
Fax | 4073866771 |
Authorized person
Name | KIMBERLY MICHELLE HUNTER |
Role | DIRECTOR OF CONTRACT DEVELOPMENT |
Phone | 7278882844 |
Taxonomy
Taxonomy Code | 251E00000X - Home Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 111921900 |
State | FL |
Issuer | AHCA |
Number | 299994552 |
State | FL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
FOCUS FORWARD SKILLED CARE 401K | 2022 | 473272425 | 2023-05-30 | FOCUS FORWARD SKILLED CARE LLC | 49 | |||||||||||||||||||||||
|
Role | Plan administrator |
Date | 2023-05-30 |
Name of individual signing | THOMAS MESSINA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-10-01 |
Business code | 621610 |
Sponsor’s telephone number | 4074207254 |
Plan sponsor’s address | 12424 RESEARCH PKWY, STE 200, ORLANDO, FL, 32826 |
Signature of
Role | Plan administrator |
Date | 2022-05-24 |
Name of individual signing | THOMAS MESSINA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-10-01 |
Business code | 621610 |
Sponsor’s telephone number | 4074207254 |
Plan sponsor’s address | 12424 RESEARCH PKWY, STE 200, ORLANDO, FL, 32826 |
Signature of
Role | Plan administrator |
Date | 2021-07-01 |
Name of individual signing | THOMAS MESSINA |
Valid signature | Filed with authorized/valid electronic signature |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-10-01 |
Sponsor’s telephone number | 4079288903 |
Plan sponsor’s address | 615 E. COLONIAL DR, SUITE 150A, ORLANDO, FL, 32803 |
Signature of
Role | Plan administrator |
Date | 2020-07-30 |
Name of individual signing | THOMAS MESSINA |
Valid signature | Filed with authorized/valid electronic signature |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 2019-10-01 |
Business code | 621610 |
Sponsor’s telephone number | 4079288903 |
Plan sponsor’s address | 615 E. COLONIAL DR, SUITE 150A, ORLANDO, FL, 32803 |
Signature of
Role | Plan administrator |
Date | 2020-08-06 |
Name of individual signing | THOMAS MESSINA |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role |
---|---|
STARS & RAINBOW DREAMS, LLC | Authorized Member |
Name | Role | Address |
---|---|---|
SULLIVAN KATHERINE | CO | 12424 RESEARCH PKWY, STE 200, ORLANDO, FL, 32826 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-07-07 | 1201 HAYS STREET, Ste 200, TALLAHASSEE, FL 32301 | No data |
LC STMNT OF RA/RO CHG | 2023-07-07 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2023-07-07 | CORPORATION SERVICE COMPANY | No data |
LC AMENDMENT | 2022-07-12 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2020-01-18 | 12424 Research Pwy, Ste 200, ORLANDO, FL 32826 | No data |
CHANGE OF MAILING ADDRESS | 2020-01-18 | 12424 Research Pwy, Ste 200, ORLANDO, FL 32826 | No data |
LC AMENDMENT | 2017-06-21 | No data | No data |
LC AMENDMENT | 2016-01-25 | No data | No data |
LC AMENDMENT | 2015-07-22 | No data | No data |
Name | Date |
---|---|
CORLCRACHG | 2023-07-07 |
ANNUAL REPORT | 2023-05-01 |
LC Amendment | 2022-07-12 |
ANNUAL REPORT | 2022-01-24 |
ANNUAL REPORT | 2021-01-12 |
ANNUAL REPORT | 2020-01-18 |
ANNUAL REPORT | 2019-02-05 |
ANNUAL REPORT | 2018-01-28 |
LC Amendment | 2017-06-21 |
ANNUAL REPORT | 2017-02-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State