| Entity Name: | GV PALM COAST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Sep 2020 (4 years ago) |
| Document Number: | L20000306137 |
| FEI/EIN Number | 45-3976798 |
| Address: | 13770 58TH ST N, SUITE 312, CLEARWATER, FL, 33760 |
| Mail Address: | 13770 58TH ST N, SUITE 312, CLEARWATER, FL, 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679172563 | 2020-10-21 | 2020-10-21 | 13770 58TH ST N STE 312, CLEARWATER, FL, 337603759, US | 100 MAGNOLIA TRACE WAY, PALM COAST, FL, 321642382, US | |||||||||||||||
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| Phone | +1 727-726-3980 |
| Phone | +1 386-445-3500 |
Authorized person
| Name | ROBIN MONTHIE |
| Role | SENIOR OPERATIONS COORDINATOR |
| Phone | 7277263980 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARNES TIMOTHY R | Agent | 13770 58TH ST N, CLEARWATER, FL, 33760 |
| Name | Role |
|---|---|
| DFGV HOLDINGS, INC. | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000135377 | GRAND VILLA OF PALM COAST | ACTIVE | 2020-10-19 | 2025-12-31 | No data | 13770 58TH ST N. SUITE 312, CLEARWATER, FL, 33760 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| Florida Limited Liability | 2020-09-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
