| Entity Name: | MOSES GROUP HOME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Apr 2016 (9 years ago) |
| Date of dissolution: | 26 Jan 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Jan 2018 (7 years ago) |
| Document Number: | L16000072983 |
| FEI/EIN Number | 81-2197746 |
| Address: | 4273 SW DIDO DRIVE, PORT ST LUCIE, FL 34953 |
| Mail Address: | 4273 SW DIDO DRIVE, PORT ST LUCIE, FL 34953 |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720437890 | 2016-06-08 | 2016-06-08 | 4273 SW DIDO DR, PORT ST LUCIE, FL, 349536434, US | 4273 SW DIDO DR, PORT ST LUCIE, FL, 349536434, US | |||||||||||||||||||||
|
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| Phone | +1 201-214-8142 |
Authorized person
| Name | SHIRLEY-ANN MOSES |
| Role | MGR |
| Phone | 2012148142 |
Taxonomy
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERNARD, DAVID | Agent | 4273 SW DIDO DRIVE, PORT ST LUCIE, FL 34953 |
| Name | Role | Address |
|---|---|---|
| MOSES, SHIRLEY-ANN | Manager | 4273 SW DIDO DRIVE, PORT ST LUCIE, FL 34953 |
| BERNARD, DAVID | Manager | 1031 SW COLLEGE PARK RD, PORT ST LUCIE, FL 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-01-26 | No data | No data |
| LC AMENDMENT | 2017-08-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-08-01 | BERNARD, DAVID | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-09 | 4273 SW DIDO DRIVE, PORT ST LUCIE, FL 34953 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2017-08-01 |
| ANNUAL REPORT | 2017-01-09 |
| Florida Limited Liability | 2016-04-13 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
