| Entity Name: | BLISS LIFE RESIDENTIAL CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Jun 2019 (6 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L19000155466 |
| FEI/EIN Number | 84-2224568 |
| Address: | 402 ARTHUR AVE., LEHIGH ACRES, FL 33936 |
| Mail Address: | 402 ARTHUR AVE., LEHIGH ACRES, FL 33936 |
| ZIP code: | 33936 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194326728 | 2020-11-02 | 2020-11-02 | 402 ARTHUR AVE, LEHIGH ACRES, FL, 339367412, US | 402 ARTHUR AVE, LEHIGH ACRES, FL, 339367412, US | |||||||||||||||||||
|
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| Phone | +1 239-603-3734 |
Authorized person
| Name | MRS. VIERGELA DESHOMMES JOSEPH |
| Role | ADMINISTRATOR |
| Phone | 2396033734 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY FOR HEALTH CARE ADMINISTRATION DIVISION OF HEALTH QUALITY ASSURANCE |
| Number | 60243 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOSEPH, VIERGELA DESHOMMES | Agent | 402 ARTHUR AVE., LEHIGH ACRES, FL 33936 |
| Name | Role | Address |
|---|---|---|
| JOSEPH, VIERGELA | Authorized Member | 402 ARTHUR AVE., LEHIGH ACRES, FL 33936 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-27 | JOSEPH, VIERGELA DESHOMMES | No data |
| LC NAME CHANGE | 2019-09-20 | BLISS LIFE RESIDENTIAL CARE LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-03-27 |
| LC Name Change | 2019-09-20 |
| Florida Limited Liability | 2019-06-12 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
