| Entity Name: | GRACED CARE PROVIDERS, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 06 Nov 2019 (5 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: | L19000277177 |
| FEI/EIN Number | 84-3859103 |
| Address: | 20225 VINTAGE OAKS PLACE, TAMPA, FL, 33647 |
| Mail Address: | 20225 VINTAGE OAKS PLACE, TAMPA, FL, 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144851965 | 2020-01-30 | 2020-01-30 | 20225 VINTAGE OAKS PL, TAMPA, FL, 336473286, US | 20225 VINTAGE OAKS PL, TAMPA, FL, 336473286, US | |||||||||||||
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| Phone | +1 813-464-9411 |
Authorized person
| Name | AIREONNA K BAILEY |
| Role | OWNER |
| Phone | 8134649411 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BAILEY AIREONNA K | Agent | 20225 VINTAGE OAKS PLACE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| BAILEY AIREONNA K | Authorized Person | 20225 VINTAGE OAKS PLACE, TAMPA, FL, 33647 |
| LEWIS TRACY G | Authorized Person | 20225 VINTAGE OAKS PLACE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-29 |
| Florida Limited Liability | 2019-11-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
