| Entity Name: | QUEEN ELAINE ASSISTED LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jul 2016 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Oct 2022 (2 years ago) |
| Document Number: | L16000145586 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 1210 QUEEN ELAINE DR, CASSELBERRY, FL, 32707, US |
| Mail Address: | 1210 QUEEN ELAINE DR, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689114423 | 2017-02-27 | 2017-02-27 | 5840 RED BUG LAKE RD STE 495, WINTER SPGS, FL, 327085011, US | 5840 RED BUG LAKE RD STE 495, WINTER SPGS, FL, 327085011, US | |||||||||||||||||
|
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| Phone | +1 407-209-3242 |
Authorized person
| Name | LANA WATTS |
| Role | ADMINISTRATOR |
| Phone | 4072093242 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12973 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Etienne Dameus Debbie | Agent | 924 N Magnolia Ave, Orlando, FL, 32803 |
| Name | Role | Address |
|---|---|---|
| Etienne Dameus Debbie | Authorized Member | 924 N Magnolia Ave, Orlando, FL, 32803 |
| Dameus Schneider | Authorized Member | 924 N Magnolia Ave, Orlando, FL, 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000060347 | VIPASSISTSENIORS | EXPIRED | 2019-05-21 | 2024-12-31 | No data | 5840 RED BUG LAKE ROAD SUITE 495, WINTER SPRINGS, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-10-24 | 924 N Magnolia Ave, Unit 5061, Suite 202, Orlando, FL 32803 | No data |
| REINSTATEMENT | 2022-10-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-24 | 1210 QUEEN ELAINE DR, CASSELBERRY, FL 32707 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-24 | Etienne Dameus, Debbie | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2021-10-05 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2016-12-16 | QUEEN ELAINE ASSISTED LIVING FACILITY, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-24 |
| REINSTATEMENT | 2022-10-24 |
| REINSTATEMENT | 2021-10-05 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-05-27 |
| LC Amendment and Name Change | 2016-12-16 |
| Florida Limited Liability | 2016-07-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
