| Entity Name: | GRACE HOME LIVING FACILITY L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GRACE HOME LIVING FACILITY L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Mar 2015 (10 years ago) |
| Document Number: | L15000055146 |
| FEI/EIN Number |
464939027
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2821 HUNT STREET, JACKSONVILLE, FL, 32254, US |
| Mail Address: | 2821 Hunt Street, JACKSONVILLE, FL, 32254, US |
| ZIP code: | 32254 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467821512 | 2015-09-18 | 2015-09-18 | 2821 HUNT ST, JACKSONVILLE, FL, 322544003, US | 2821 HUNT ST, JACKSONVILLE, FL, 322544003, US | |||||||||||||||||||||||
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| Phone | +1 904-379-6710 |
Authorized person
| Name | MS. COLLETTE KATRELL HOLMES |
| Role | ADMINISTRATOR |
| Phone | 9046737212 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12677 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015058700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Holmes Collette K | Admi | 2821 Hunt Street, jacksonville, FL, 32254 |
| HOLMES COLLETTE | Agent | 7414 IRVING SCOTT DRIVE, JACKSONVILLE, FL, 32209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-04-03 | 2821 HUNT STREET, JACKSONVILLE, FL 32254 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-04-03 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-02-21 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-05-01 |
| Florida Limited Liability | 2015-03-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2684398807 | 2021-04-13 | 0491 | PPP | 2821 Hunt St, Jacksonville, FL, 32254-4003 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
