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 |
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 | |||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BARNES TIMOTHY R | Agent | 13770 58TH ST N, CLEARWATER, FL, 33760 |
Name | Role |
---|---|
DFGV HOLDINGS, INC. | Manager |
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 |
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