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GLENVILLE PINES II ASSISTED LIVING FACILITY LLC

Company Details

Entity Name: GLENVILLE PINES II ASSISTED LIVING FACILITY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 18 Jul 2017 (8 years ago)
Date of dissolution: 10 Mar 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 10 Mar 2022 (3 years ago)
Document Number: L17000153962
FEI/EIN Number 82-2318756
Mail Address: 1351 STEELE RD S.E., PALM BAY, FL 32909
Address: 211 SILVER OA RD NE, PALM BAY, FL 32907
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447756655 2018-04-05 2018-04-05 1351 STEELE RD SE, PALM BAY, FL, 329095332, US 211 SILVER OAK RD NE, PALM BAY, FL, 329075582, US

Contacts

Phone +1 321-258-4056
Phone +1 321-802-4121
Fax 3219847568

Authorized person

Name MS. ELIDA M REYES-KERR
Role ADMINISTRATOR
Phone 3212584056

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL12461
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 022322700
State FL

Agent

Name Role Address
HILL ACCOUNTING & TAX SERVICE Agent 314 LAURIE STREET, MELBOURNE, FL 32935

Manager

Name Role Address
REYES-KERR, ELIDA Manager 1351 STEELE RD S.E., PALM BAY, FL 32909
KERR, GLENFORD Manager 1701 HAYS ST, PALM BAY, FL 32909

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-03-10 No data No data
REINSTATEMENT 2018-10-10 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-10-10 211 SILVER OA RD NE, PALM BAY, FL 32907 No data
REGISTERED AGENT NAME CHANGED 2018-10-10 HILL ACCOUNTING & TAX SERVICE No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2018-09-28 No data No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-03-10
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-06-13
REINSTATEMENT 2018-10-10
Florida Limited Liability 2017-07-18

Date of last update: 18 Feb 2025

Sources: Florida Department of State