| Entity Name: | LOVING CARE OF ST PETERSBURG INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 21 Mar 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | N08000002817 |
| FEI/EIN Number | 262258868 |
| Address: | 1001 9 STREET N, ST PETERSBURG, FL, 33701 |
| Mail Address: | 1001 9 STREET N, ST PETERSBURG, FL, 33701 |
| ZIP code: | 33701 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285075986 | 2013-07-10 | 2013-07-10 | 1001 9TH ST N, ST PETERSBURG, FL, 337011514, US | 1001 9TH ST N, ST PETERSBURG, FL, 337011514, US | |||||||||||||||||||||||
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| Phone | +1 727-324-9963 |
Authorized person
| Name | CARLOS JUAN MAZARIEGOS |
| Role | ADMINISTRATOR |
| Phone | 7278231625 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 11357 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000225800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIROIT GASTON | Agent | 5833 CORAL WAY, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| SIROIT GASTON | President | 5833 CORAL WAY, MIAMI, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| Puignau Mayra | Managing Member | 5833 Coral Way, Miami, FL, 33155 |
| Name | Role | Address |
|---|---|---|
| Bird Rene | Officer | 1001 9 STREET N, ST PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-09-01 | 1001 9 STREET N, ST PETERSBURG, FL 33701 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2011-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-08 | 1001 9 STREET N, ST PETERSBURG, FL 33701 | No data |
| AMENDMENT | 2008-06-23 | No data | No data |
| AMENDMENT | 2008-04-02 | No data | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2019-08-23 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-02-15 |
| ANNUAL REPORT | 2012-04-30 |
| REINSTATEMENT | 2011-09-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
