| Entity Name: | B&V LA BELLE VIE ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jan 2016 (9 years ago) |
| Document Number: | L16000008825 |
| FEI/EIN Number | 81-2013186 |
| Address: | 193 Eldron Blvd. NE, PALM BAY, FL, 32907, US |
| Mail Address: | 193 ELDRON BLVD NE, PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992290134 | 2018-06-29 | 2023-08-11 | 193 ELDRON BLVD NE, PALM BAY, FL, 329073088, US | 193 ELDRON BLVD NE, PALM BAY, FL, 329073088, US | |||||||||||||||||||||||||
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| Phone | +1 321-872-4642 |
| Fax | 3212163148 |
Authorized person
| Name | BALAGUEL MEVOICY |
| Role | ADMIN |
| Phone | 3218724642 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008552300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MEVOICY BALAGUEL | Agent | 1271 Snowbird Ave. NW, Palm Bay, FL, 32907 |
| Name | Role | Address |
|---|---|---|
| MEVOICY BALAGUEL | Manager | 1271 SNOWBIRD AVE NW, PALM BAY, FL, 32907 |
| BAPTISTE MEVOICY VIXIANNE | Manager | 1271 SNOWBIRD AVE NW, PALM BAY, FL, 32907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-05 | 193 Eldron Blvd. NE, PALM BAY, FL 32907 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-05 | MEVOICY, BALAGUEL | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-05 | 1271 Snowbird Ave. NW, Palm Bay, FL 32907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-08-04 |
| ANNUAL REPORT | 2020-06-05 |
| ANNUAL REPORT | 2019-03-08 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-03-13 |
| Florida Limited Liability | 2016-01-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
