| Entity Name: | FLORIDA MENTOR II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 09 Sep 2020 (5 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Nov 2020 (4 years ago) |
| Document Number: | M20000007813 |
| FEI/EIN Number |
85-2621094
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 6600 France Avenue South, Suite 350, Edina, MN, 55435, US |
| Mail Address: | 6600 France Avenue South, Suite 350, Edina, MN, 55435, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962009019 | 2020-10-01 | 2020-11-18 | 3258 PARKSIDE CENTER CIR, TAMPA, FL, 336190907, US | 1045 MAR WALT DR, FORT WALTON BEACH, FL, 325476738, US | |||||||||||||||||
|
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| Phone | +1 813-389-8300 |
| Phone | +1 850-862-0108 |
| Fax | 8508627103 |
Authorized person
| Name | CAROL SWANSON |
| Role | VICE PRESIDENT OF OPERATIONS |
| Phone | 8133898300 |
Taxonomy
| Taxonomy Code | 315P00000X - Intellectual Disabilities Intermediate Care Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTIN GINA L | Secretary | 6600 France Avenue South, Edina, MN, 55435 |
| Kaufman Philip R | Manager | 6600 France Avenue South, Edina, MN, 55435 |
| Callen David R | Manager | 6600 France Avenue South, Edina, MN, 55435 |
| Szwed Danna M | Manager | 6600 France Avenue South, Edina, MN, 55435 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000148984 | PANAMA CITY DEVELOPMENTAL CENTER | ACTIVE | 2020-11-20 | 2025-12-31 | - | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000148985 | TALLAHASSEE DEVELOPMENTAL CENTER | ACTIVE | 2020-11-20 | 2025-12-31 | - | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000147301 | FORT WALTON BEACH DEVELOPMENTAL CENTER | ACTIVE | 2020-11-17 | 2025-12-31 | - | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000147302 | HILLSBOROUGH COUNTY DEVELOPMENTAL CENTER | ACTIVE | 2020-11-17 | 2025-12-31 | - | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| G20000147300 | PENSACOLA DEVELOPMENTAL CENTER | ACTIVE | 2020-11-17 | 2025-12-31 | - | 313 CONGRESS STREET, 5TH FLOOR, BOSTON, MA, 02210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-18 | 6600 France Avenue South, Suite 350, Edina, MN 55435 | - |
| LC STMNT OF RA/RO CHG | 2020-11-05 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-11-05 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-11-05 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| LC AMENDMENT | 2020-10-13 | - | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2024-02-14 |
| AMENDED ANNUAL REPORT | 2023-11-28 |
| AMENDED ANNUAL REPORT | 2023-08-15 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-03-15 |
| ANNUAL REPORT | 2021-04-16 |
| CORLCRACHG | 2020-11-05 |
| LC Amendment | 2020-10-13 |
| Foreign Limited | 2020-09-09 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 345319354 | 0419700 | 2021-05-20 | 455 APPLEYARD DRIVE, TALLAHASSEE, FL, 32304 | |||||||||||||||||||||
|
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| Type | Inspection |
| Activity Nr | 1474518 |
| Health | Yes |
| Inspection Type | FollowUp |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2021-05-20 |
| Emphasis | N: COVID-19 |
| Case Closed | 2021-06-07 |
Related Activity
| Type | Inspection |
| Activity Nr | 1474819 |
| Health | Yes |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3635240 | Intrastate Non-Hazmat | 2021-05-14 | - | - | 23 | 125 | Priv. Pass. (Business) | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
