| Entity Name: | GOD'S VIP SENIOR HAVEN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 21 Nov 2017 (7 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L17000239409 |
| FEI/EIN Number | 82-3500977 |
| Address: | 4681 SW 66TH AVE, DAVIE, FL, 33314, US |
| Mail Address: | c/o Silver Wave Ventures, 1000 W Pembroke Rd. Ste 308, Hallandale Beach, FL, 33009, US |
| ZIP code: | 33314 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417451600 | 2018-03-21 | 2018-03-21 | 3630 ILLINOIS RD, FORT WAYNE, IN, 468042062, US | 4681 SW 66TH AVE, DAVIE, FL, 333144340, US | |||||||||||||||||||||||||
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| Phone | +1 708-309-0864 |
| Phone | +1 954-581-9111 |
Authorized person
| Name | ROBERT PETRAS |
| Role | COO |
| Phone | 2607979482 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 5448 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 5448 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TAFT SERVICES SOLUTIONS CORP. | Agent | 6488 INDIGO BUNTING PLACE, LAKEWOOD RANCH, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| VIP SENIOR LIVING LLC | Authorized Member | c/o Silver Wave Ventures, Hallandale Beach, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-23 | 4681 SW 66TH AVE, DAVIE, FL 33314 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-07-16 | 4681 SW 66TH AVE, DAVIE, FL 33314 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-10 |
| Florida Limited Liability | 2017-11-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
