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GV DEERFIELD BEACH, LLC

Company Details

Entity Name: GV DEERFIELD BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 31 May 2016 (9 years ago)
Document Number: L16000105773
FEI/EIN Number 45-3976798
Address: 13770 58TH ST N, SUITE 312, CLEARWATER, FL, 33760
Mail Address: 13770 58TH ST N, SUITE 312, CLEARWATER, FL, 33760
ZIP code: 33760
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700239563 2016-07-18 2016-07-18 13770 58TH ST N, SUITE 312, CLEARWATER, FL, 337603759, US 1050 SW 24TH AVE, DEERFIELD BEACH, FL, 334427601, US

Contacts

Phone +1 727-726-3980
Fax 7277265345
Phone +1 954-360-7667
Fax 9543607363

Authorized person

Name JOHNNY SIZEMORE
Role OPERATIONS COORDINATOR
Phone 7277263980

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL# 8697
State FL
Is Primary Yes
Taxonomy Code 3104A0625X - Assisted Living Facility (Mental Illness)
License Number AL# 8697
State FL
Is Primary No

Agent

Name Role Address
BARNES TIMOTHY R Agent 13770 58TH ST N, CLEARWATER, FL, 33760

Manager

Name Role
DFGV HOLDINGS, INC. Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000067268 GRAND VILLA OF DEERFIELD BEACH ACTIVE 2016-07-08 2026-12-31 No data 13770 58TH ST N. SUITE 312, SUITE 312, CLEARWATER, FL, 33760

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-27
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-04-29
Florida Limited Liability 2016-05-31

Date of last update: 01 Feb 2025

Sources: Florida Department of State