| Entity Name: | REEVES MANOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Oct 2020 (4 years ago) |
| Document Number: | L17000111840 |
| FEI/EIN Number | 82-1595731 |
| Address: | 650 industrial drive, CRESTVIEW, FL, 32539, US |
| Mail Address: | 650 industrial drive, CRESTVIEW, FL, 32539, US |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629736897 | 2021-12-03 | 2021-12-07 | 650 INDUSTRIAL DRIVE, CRESTVIEW, FL, 325392208, US | 650 INDUSTRIAL DRIVE, CRESTVIEW, FL, 325392208, US | |||||||||||||||||||||
|
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| Phone | +1 850-398-6233 |
| Fax | 8503313670 |
Authorized person
| Name | NICOLE A REEVES |
| Role | OWNER |
| Phone | 8503056697 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110926900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| REEVES NICOLE | Agent | 650 industrial drive, CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| REEVES NICOLE | Manager | 650 industrial drive, CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-07 | 650 industrial drive, po box1561, CRESTVIEW, FL 32539 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-07 | 650 industrial drive, po box1561, CRESTVIEW, FL 32539 | No data |
| REINSTATEMENT | 2020-10-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-12-02 | 650 industrial drive, CRESTVIEW, FL 32539 | No data |
| REINSTATEMENT | 2019-12-02 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-12-02 | REEVES, NICOLE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-16 |
| REINSTATEMENT | 2020-10-16 |
| REINSTATEMENT | 2019-12-02 |
| ANNUAL REPORT | 2018-04-19 |
| Florida Limited Liability | 2017-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
