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HEAVENLY ADULT CARE LLC

Company Details

Entity Name: HEAVENLY ADULT CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 22 Nov 2016 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 26 Jun 2017 (8 years ago)
Document Number: L16000213844
FEI/EIN Number 81-4558731
Address: 3934 SW KAKOPO ST, PSL, FL 34953
Mail Address: 3892 SW RIDLEY STREET, PSL, FL 34953
ZIP code: 34953
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659857001 2018-07-18 2018-07-18 3934 SW KAKOPO ST, PORT ST LUCIE, FL, 349533631, US 3934 SW KAKOPO ST, PORT ST LUCIE, FL, 349533631, US

Contacts

Phone +1 772-626-9539

Authorized person

Name MS. SONIA REID
Role ADMINISTRATOR
Phone 7726269539

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number 13020
State FL
Is Primary Yes

Agent

Name Role Address
MILLER, SONIA J Agent 3934 SW KAKOPO ST, PORTSTLUCIE, FL 34953

Manager

Name Role Address
MILLER, SONIA J Manager 3934 SW KAKOPO ST, PSL, FL 34953

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-03-30 MILLER, SONIA J No data
LC AMENDMENT 2017-06-26 No data No data

Documents

Name Date
ANNUAL REPORT 2025-02-14
ANNUAL REPORT 2024-04-01
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-03-16
ANNUAL REPORT 2021-03-30
ANNUAL REPORT 2020-08-05
ANNUAL REPORT 2019-02-13
ANNUAL REPORT 2018-03-10
LC Amendment 2017-06-26
ANNUAL REPORT 2017-04-03

Date of last update: 18 Feb 2025

Sources: Florida Department of State