| Entity Name: | SHIVOAM LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SHIVOAM LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 16 Apr 2019 (6 years ago) |
| Date of dissolution: | 07 Nov 2024 (6 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Nov 2024 (6 months ago) |
| Document Number: | L19000104700 |
| FEI/EIN Number |
83-4537707
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 319 S WOODLAND BLVD, DELAND, FL, 32720, US |
| Mail Address: | 3232 Players View Cir, Longwood, FL, 32779, US |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134194202 | 2006-02-21 | 2023-03-07 | 319 S WOODLAND BLVD, DELAND, FL, 32720, US | 319 S WOODLAND BLVD, DELAND, FL, 32720, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 386-734-3383 |
| Fax | 3867343384 |
Authorized person
| Name | HARDIK G SHAH |
| Role | OWNER |
| Phone | 3522725944 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | PH11083 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | PH11083 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | PH11083 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | OTHER ID NUMBER-COMMERCIAL NUMBER |
| Number | 1064512 |
| Issuer | MEDICAID |
| Number | 109020800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAH HARDIK | Manager | 1285 DUSTY PINE DR, APOPKA, FL, 32703 |
| PATEL VIRAT | Manager | 2044 SOLAR DR, WINTER GARDEN, FL, 34787 |
| SHAH HARDIK | Agent | 319 S WOODLAND BLVD, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-07 | - | - |
| CHANGE OF MAILING ADDRESS | 2023-08-25 | 319 S WOODLAND BLVD, DELAND, FL 32720 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-18 | 319 S WOODLAND BLVD, DELAND, FL 32720 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-04-18 | 319 S WOODLAND BLVD, DELAND, FL 32720 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-11-07 |
| ANNUAL REPORT | 2024-02-17 |
| ANNUAL REPORT | 2023-08-25 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-04-18 |
| Florida Limited Liability | 2019-04-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5108527307 | 2020-04-30 | 0491 | PPP | 319 S Woodland Blvd, Deland, FL, 32720 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
