Entity Name: | BLUE FOUNTAIN III HOME CARE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 06 Jul 2020 (5 years ago) |
Document Number: | L20000191872 |
FEI/EIN Number | 85-2005990 |
Address: | 160 MAYWOOD AVE NW, PALM BAY, FL, 32907 |
Mail Address: | 160 MAYWOOD AVE NW, PALM BAY, FL, 32907 |
ZIP code: | 32907 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1023697430 | 2021-04-03 | 2024-06-10 | 160 MAYWOOD AVE NW, PALM BAY, FL, 329072967, US | 160 MAYWOOD AVE NW, PALM BAY, FL, 329072967, US | |||||||||||||
|
Phone | +1 321-345-4353 |
Authorized person
Name | MAGDA DELINOIS |
Role | ADMINISTRATOR/OWNER |
Phone | 9545593265 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
DELINOIS MAGDA | Agent | 160 MAYWOOD AVE NW, PALM BAY, FL, 32907 |
Name | Role | Address |
---|---|---|
DELINOIS MAGDA | Manager | 160 MAYWOOD AVE NW, PALM BAY, FL, 32907 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-27 |
ANNUAL REPORT | 2023-04-30 |
ANNUAL REPORT | 2022-01-14 |
ANNUAL REPORT | 2021-04-14 |
Florida Limited Liability | 2020-07-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State