| Entity Name: | BAYWOOD MEADOWS ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 17 Dec 2019 (5 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L19000306492 |
| Address: | 105 BAYWOOD DRIVE, DAYTONA BEACH, FL 32117 |
| Mail Address: | 105 BAYWOOD DRIVE, DAYTONA BEACH, FL 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104436443 | 2020-08-02 | 2020-08-02 | 105 BAYWOOD DR, DAYTONA BEACH, FL, 321174601, US | 105 BAYWOOD DR, DAYTONA BEACH, FL, 321174601, US | |||||||||||||||||||||
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| Phone | +1 386-275-1102 |
| Fax | 3862751102 |
Authorized person
| Name | NADINE DIXON |
| Role | OWNER |
| Phone | 3863417579 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106770600 |
| State | FL |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DIXON, NADINE | Manager | 105 BAYWOOD DRIVE, DAYTONA BEACH, FL 32117 |
| DIXON, MARC | Manager | 105 BAYWOOD DRIVE, DAYTONA BEACH, FL 32117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-03 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2019-12-17 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
