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BLUE FOUNTAIN III HOME CARE, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
DELINOIS MAGDA Agent 160 MAYWOOD AVE NW, PALM BAY, FL, 32907

Manager

Name Role Address
DELINOIS MAGDA Manager 160 MAYWOOD AVE NW, PALM BAY, FL, 32907

Documents

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