| Entity Name: | PEACEFUL HOME ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Oct 2022 (2 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 28 Nov 2022 (2 years ago) |
| Document Number: | L22000435463 |
| FEI/EIN Number | 92-0651731 |
| Address: | 66 PATRIC DR, PALM COAST, FL 32164 |
| Mail Address: | 66 PATRIC DR, PALM COAST, FL 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851130918 | 2024-05-20 | 2024-05-20 | 66 PATRIC DR, PALM COAST, FL, 321647588, US | 66 PATRIC DR, PALM COAST, FL, 321647588, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 386-597-7750 |
Authorized person
| Name | MARY RIVERA |
| Role | OWNER |
| Phone | 3869866557 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JLJ ACCOUNTING & TAX SVCS LLC | Agent | 66 PATRIC DR, PALM COAST, FL 32164 |
| Name | Role | Address |
|---|---|---|
| RIVERA, MARY E | Authorized Member | 66 PATRIC DR, PALM COAST, FL 32164 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000067091 | PEACEFUL HOME ASSISTED LIVING | ACTIVE | 2023-05-31 | 2028-12-31 | No data | 66 PATRIC DR, PALM COAST, FL, 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-08 | JLJ ACCOUNTING & TAX SVCS LLC | No data |
| LC DISSOCIATION MEM | 2022-11-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-08 |
| CORLCDSMEM | 2022-11-28 |
| Florida Limited Liability | 2022-10-10 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
