| Entity Name: | FANTA VILLA CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Feb 2022 (3 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 29 Dec 2022 (2 years ago) |
| Document Number: | L22000082050 |
| FEI/EIN Number | 92-3212311 |
| Address: | 19135 US Hwy 19 N, B26, Clearwater,FL, FL, 33764, US |
| Mail Address: | 19135 US Hwy 19 N, CLEARWATER, FL, 33764, US |
| ZIP code: | 33764 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992409387 | 2023-03-29 | 2023-03-30 | 19135 US HIGHWAY 19 N APT B26, CLEARWATER, FL, 337643200, US | 19135 US HIGHWAY 19 N APT B26, CLEARWATER, FL, 337643200, US | |||||||||||||||||
|
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| Phone | +1 727-815-5499 |
Authorized person
| Name | FRANCESS BARCHUE |
| Role | OWNER |
| Phone | 7278155499 |
Taxonomy
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARCHUE FRANCESS F | Agent | 19135 US HWY 19 N APT B26, CLEARWATER, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| BARCHUE FRANCESS FMS | Chief Executive Officer | 19135 US HWY 19 N APT B26, CLEARWATER, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-26 | 19135 US Hwy 19 N, B26, Apt B26, Clearwater,FL, FL 33764 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-26 | 19135 US Hwy 19 N, B26, Apt B26, Clearwater,FL, FL 33764 | No data |
| LC AMENDMENT AND NAME CHANGE | 2022-12-29 | FANTA VILLA CARE SERVICES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-04-29 |
| LC Amendment and Name Change | 2022-12-29 |
| Florida Limited Liability | 2022-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
