Entity Name: | HQM OF SUTTON PLACE, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: | Inactive |
Date Filed: | 12 Aug 2002 (22 years ago) |
Date of dissolution: | 13 Jul 2009 (16 years ago) |
Last Event: | LC WITHDRAWAL |
Event Date Filed: | 13 Jul 2009 (16 years ago) |
Document Number: | M02000002118 |
FEI/EIN Number | 611420659 |
Mail Address: | PO BOX 31809, PALM BEACH GARDENS, FL, 33420 |
Address: | 2979 PGA BOULEVARD, PALM BEACH GARDENS, FL, 33410 |
ZIP code: | 33410 |
County: | Palm Beach |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659350114 | 2006-01-12 | 2009-02-24 | 4405 LAKEWOOD RD, LAKE WORTH, FL, 334613414, US | 4405 LAKEWOOD RD, LAKE WORTH, FL, 334613414, US | |||||||||||||||||||||||
|
Phone | +1 561-969-1400 |
Authorized person
Name | MR. PAUL WALCZAK |
Role | CEO |
Phone | 5616270664 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF1544096 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 025711700 |
State | FL |
Name | Role |
---|---|
CORPORATE CREATIONS NETWORK INC. | Agent |
Name | Role |
---|---|
HOME QUALITY MANAGEMENT, INC. | Managing Member |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC WITHDRAWAL | 2009-07-13 | No data | No data |
CHANGE OF MAILING ADDRESS | 2008-03-31 | 2979 PGA BOULEVARD, PALM BEACH GARDENS, FL 33410 | No data |
REGISTERED AGENT NAME CHANGED | 2005-08-15 | CORPORATE CREATIONS NETWORK, INC. | No data |
REGISTERED AGENT ADDRESS CHANGED | 2005-08-15 | 11380 PROSPERITY FARMS ROAD #221E, PALM BEACH GARDENS, FL 33410 | No data |
CHANGE OF PRINCIPAL ADDRESS | 2004-11-18 | 2979 PGA BOULEVARD, PALM BEACH GARDENS, FL 33410 | No data |
REINSTATEMENT | 2004-11-18 | No data | No data |
REVOKED FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
Name | Date |
---|---|
LC Withdrawal | 2009-07-13 |
ANNUAL REPORT | 2008-03-31 |
ANNUAL REPORT | 2007-04-30 |
ANNUAL REPORT | 2006-04-28 |
Reg. Agent Change | 2005-08-15 |
ANNUAL REPORT | 2005-04-28 |
REINSTATEMENT | 2004-11-18 |
ANNUAL REPORT | 2003-02-18 |
Foreign Limited | 2002-08-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State