Entity Name: | ROYAL HEALTHCARE OF AVON PARK, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
Date Filed: | 18 Jan 2005 (20 years ago) |
Date of dissolution: | 18 Dec 2012 (12 years ago) |
Last Event: | LC WITHDRAWAL |
Event Date Filed: | 18 Dec 2012 (12 years ago) |
Document Number: | M05000000251 |
FEI/EIN Number |
201502213
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1508 APPLECROFT LANE, COCKEYSVILLE, MD, 33825, US |
Mail Address: | 1508 APPLECROFT LANE, COCKEYSVILLE, MD, 33825, US |
ZIP code: | 33825 |
County: | Highlands |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1710049192 | 2006-12-14 | 2020-08-22 | 1213 W STRATFORD RD, AVON PARK, FL, 338258091, US | 1213 W STRATFORD RD, AVON PARK, FL, 338258091, US | |||||||||||||||||||||||||
|
Phone | +1 863-453-6674 |
Fax | 8634539473 |
Authorized person
Name | MRS. ANGELA HALL COLEMAN |
Role | BUSINESS OFFICE MANAGER |
Phone | 8634536674 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF12290951 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD |
Number | L7B |
State | FL |
Name | Role | Address |
---|---|---|
MOUNTAIN LAKE INVESTORS LLC | Manager | 7823 QUAIL LANDING, SARASOTA, FL, 34240 |
CELTIC CAPITAL PARTNERS, LLC | Manager | - |
XX, INC. | Agent | - |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC WITHDRAWAL | 2012-12-18 | - | - |
REVOKED FOR ANNUAL REPORT | 2009-09-25 | - | - |
CHANGE OF PRINCIPAL ADDRESS | 2008-09-03 | 1508 APPLECROFT LANE, COCKEYSVILLE, MD 33825 | - |
CHANGE OF MAILING ADDRESS | 2008-09-03 | 1508 APPLECROFT LANE, COCKEYSVILLE, MD 33825 | - |
CANCEL ADM DISS/REV | 2007-10-11 | - | - |
REVOKED FOR ANNUAL REPORT | 2007-09-14 | - | - |
Name | Date |
---|---|
LC Withdrawal | 2012-12-18 |
ANNUAL REPORT | 2008-09-03 |
REINSTATEMENT | 2007-10-11 |
ANNUAL REPORT | 2006-05-01 |
Foreign Limited | 2005-01-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State