| Entity Name: | FAMILY EXTENDED CARE OF PUNTA GORDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 06 Jul 2010 (15 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 10 Dec 2010 (14 years ago) |
| Document Number: | N10000006382 |
| FEI/EIN Number | 273051469 |
| Address: | 2700 W. 81ST ST., HIALEAH, FL, 33016 |
| Mail Address: | 2700 W. 81ST ST., HIALEAH, FL, 33016 |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851695399 | 2010-12-24 | 2010-12-24 | 22332 VICK ST, PORT CHARLOTTE, FL, 339802053, US | 22332 VICK ST, PORT CHARLOTTE, FL, 339802053, US | |||||||||||||||||||
|
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| Phone | +1 941-627-5388 |
| Fax | 9416272007 |
Authorized person
| Name | DEBRA M LEWIS |
| Role | DIRECTOR OF QUALITY ASSURANCE |
| Phone | 2392473248 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5016 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUSTIG ROY R | Agent | 20900 NE 30th Avenue, Aventura, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Betty | Chief Financial Officer | 2700 W. 81ST ST., HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| WALKER LINDA | Chief Operating Officer | 2700 W. 81ST ST., HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| GLUCK LINDA | President | 2700 W. 81ST ST., HIALEAH, FL, 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000002753 | VICK STREET MANOR | ACTIVE | 2023-01-06 | 2028-12-31 | No data | 2700 W 81ST STREET, HIALEAH, FL, 33016 |
| G16000116168 | FAMILY EXTENDED CARE | EXPIRED | 2016-10-26 | 2021-12-31 | No data | 2700 W. 81 STREET, HIALEAH, FL, 33016 |
| G10000107578 | VICK STREET MANOR | EXPIRED | 2010-11-24 | 2015-12-31 | No data | 2700 WEST 81ST STREET, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-22 | 20900 NE 30th Avenue, One Aventura, Suite 600, Aventura, FL 33180 | No data |
| AMENDMENT | 2010-12-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-11 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-02-17 |
| ANNUAL REPORT | 2015-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
