| Entity Name: | LISE'S GARDEN AFCH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Sep 2016 (8 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 16 Feb 2017 (8 years ago) |
| Document Number: | L16000166098 |
| FEI/EIN Number | 813770176 |
| Address: | 1542 PROVIDENCE CIRCLE, ORLANDO, FL, 32818, US |
| Mail Address: | 1542 PROVIDENCE CIRCLE, ORLANDO, FL, 32818, US |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639678139 | 2018-02-09 | 2018-02-09 | 1542 PROVIDENCE CIR, ORLANDO, FL, 328185708, US | 1542 PROVIDENCE CIR, ORLANDO, FL, 328185708, US | |||||||||||||||||
|
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| Phone | +1 407-668-4654 |
Authorized person
| Name | LISE I HYPPOLITE-ALPHONSE |
| Role | ADMINISTRATOR |
| Phone | 3219488533 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6906849 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HYPPOLITE-ALPHONSE LISE I | Agent | 1542 PROVIDENCE CIRCLE, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| HYPPOLITE-ALPHONSE LISE I | Manager | 1542 PROVIDENCE CIRCLE, ORLANDO, FL, 32818 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-21 | 1542 PROVIDENCE CIRCLE, ORLANDO, FL 32818 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 1542 PROVIDENCE CIRCLE, ORLANDO, FL 32818 | No data |
| LC AMENDMENT AND NAME CHANGE | 2017-02-16 | LISE'S GARDEN AFCH, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2017-02-16 | HYPPOLITE-ALPHONSE, LISE I. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-16 | 1542 PROVIDENCE CIRCLE, ORLANDO, FL 32818 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-07-31 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-27 |
| LC Amendment and Name Change | 2017-02-16 |
| Florida Limited Liability | 2016-09-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
