| Entity Name: | FLORIDA HOMESTYLE MANOR, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
FLORIDA HOMESTYLE MANOR, 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: | 28 Apr 2020 (5 years ago) |
| Date of dissolution: | 30 Jan 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 30 Jan 2022 (3 years ago) |
| Document Number: | L20000114857 |
| FEI/EIN Number |
85-0500903
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 481 DAGAMA DR, CLERMONT, FL, 34715-8037, US |
| Mail Address: | 1105 SADIE RIDGE RD, CLERMONT, FL, 34715-0069, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568089050 | 2020-06-30 | 2021-08-22 | 1105 SADIE RIDGE RD, CLERMONT, FL, 347150069, US | 481 DAGAMA DR, CLERMONT, FL, 347158037, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 205-541-9580 |
Authorized person
| Name | ANTHONY C GROVE |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 2055419580 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 320600000X - Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 109504600 |
| State | FL |
| Issuer | AGENCY FOR PERSONS WITH DISABILITIES - APD |
| Number | 13002507 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GROVE ANTHONY C | Chief Executive Officer | 1105 SADIE RIDGE RD, CLERMONT, FL, 347150069 |
| HOLLINGSHEAD LONNA L | Chief Operating Officer | 1105 SADIE RIDGE RD, CLERMONT, FL, 347150069 |
| GROVE ANTHONY C | Agent | 1105 SADIE RIDGE RD, CLERMONT, FL, 347150069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-30 | - | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-01-30 |
| ANNUAL REPORT | 2021-01-30 |
| Florida Limited Liability | 2020-04-28 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
