| Entity Name: | HIBISCUS OAKS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2016 (9 years ago) |
| Document Number: | L16000007386 |
| FEI/EIN Number | 81-1415200 |
| Address: | 1385 HIBISCUS AVENUE, WINTER PARK, FL, 32789, US |
| Mail Address: | 1385 HIBISCUS AVENUE, WINTER PARK, FL, 32789, US |
| ZIP code: | 32789 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043821564 | 2020-08-10 | 2023-11-27 | 1759 ALABAMA DR, WINTER PARK, FL, 327892648, US | 1385 HIBISCUS AVE, WINTER PARK, FL, 327891611, US | |||||||||||||||||||
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| Phone | +1 407-622-5076 |
Authorized person
| Name | JENNIFER BROWN |
| Role | ADMINISTRATOR |
| Phone | 4072526408 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105490300 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATE CREATIONS NETWORK INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Rose Brook | Manager | c/o Accretive Law PC, Fort Pierce, FL, 34951 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-04-22 | Corporate Creations Network Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-22 | 801 US Highway 1, North Palm Beach, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-26 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-13 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| Florida Limited Liability | 2016-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
