| Entity Name: | CLOVER MEADOWS ASSISTED LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 May 2015 (10 years ago) |
| Date of dissolution: | 05 Feb 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 05 Feb 2019 (6 years ago) |
| Document Number: | L15000083215 |
| FEI/EIN Number | 47-4021537 |
| Mail Address: | 1144 Byerly way, Orlando, FL, 32818, US |
| Address: | 6609 LA JOLLA STREET, ORLANDO, FL, 32818, US |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407306954 | 2016-10-08 | 2016-10-08 | 13920 EYLEWOOD DR, WINTER GARDEN, FL, 347874664, US | 6609 LA JOLLA ST, ORLANDO, FL, 328186849, US | |||||||||||||||||||
|
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| Phone | +1 407-656-2443 |
| Fax | 8772879424 |
Authorized person
| Name | MR. TEXUS WALLACE |
| Role | ADMINISTRATOR |
| Phone | 4076562443 |
Taxonomy
| Taxonomy Code | 385HR2065X - Child Physical Disabilities Respite Care |
| License Number | AL12772 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Jah Juliet | Agent | 1144 Byerly way, Orlando, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| Jah Juliet | Manager | 1144 Byerly way, Orlando, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-02-05 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-05-01 | 6609 LA JOLLA STREET, ORLANDO, FL 32818 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-05-01 | Jah, Juliet | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-05-01 | 1144 Byerly way, Orlando, FL 32818 | No data |
| REINSTATEMENT | 2016-10-06 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-02-05 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-03-16 |
| REINSTATEMENT | 2016-10-06 |
| Florida Limited Liability | 2015-05-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
