| Entity Name: | FAMILY TYME LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Apr 2018 (7 years ago) |
| Date of dissolution: | 29 Apr 2024 (9 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Apr 2024 (9 months ago) |
| Document Number: | L18000102158 |
| FEI/EIN Number | 81-1657495 |
| Address: | 131 E NEW YORK AVE, DELAND, FL, 32724, US |
| Mail Address: | 131 E NEW YORK AVE, DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871132373 | 2019-12-31 | 2022-05-05 | 960 OAKWOOD RD, ORANGE CITY, FL, 327635028, US | 960 OAKWOOD RD, ORANGE CITY, FL, 327635028, US | |||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 386-218-0402 |
| Fax | 3864564974 |
Authorized person
| Name | PERRY LEE DAVIS |
| Role | CFO/OWNER |
| Phone | 3863202467 |
Taxonomy
| Taxonomy Code | 172A00000X - Driver |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102581600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS LORRAINE A | Agent | 960 OAKWOOD ROAD, ORANGE CITY, FL, 32763 |
| Name | Role | Address |
|---|---|---|
| DAVIS PERRY L | Manager | 960 OAKWOOD ROAD, ORANGE CITY, FL, 32763 |
| DAVIS LORRAINE A | Manager | 960 OAKWOOD ROAD, ORANGE CITY, FL, 32763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000096981 | PREFERRED CARE AT HOME OF WEST VOLUSIA | EXPIRED | 2018-08-30 | 2023-12-31 | No data | 960 OAKWOOD ROAD, ORANGE CITY,, FL, 32763 |
| G18000052783 | FAMILY TYME | EXPIRED | 2018-04-26 | 2023-12-31 | No data | 960 OAKWOOD ROAD, ORANGE CITY, FL, 32763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-15 | 131 E NEW YORK AVE, STE 215, DELAND, FL 32724 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-15 | 131 E NEW YORK AVE, STE 215, DELAND, FL 32724 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000427795 | TERMINATED | 1000000871095 | VOLUSIA | 2020-12-21 | 2030-12-30 | $ 1,757.08 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-04-29 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-03-25 |
| ANNUAL REPORT | 2021-03-11 |
| ANNUAL REPORT | 2020-03-07 |
| ANNUAL REPORT | 2019-04-22 |
| Florida Limited Liability | 2018-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
