| Entity Name: | FAMILY EXTENDED CARE OF AMELIA ISLAND, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 03 Dec 2014 (10 years ago) |
| Document Number: | N14000011046 |
| FEI/EIN Number | 47-2450697 |
| Address: | 2700 West 81st Street, Hialeah, FL, 33016, US |
| Mail Address: | 2700 West 81st Street, Hialeah, FL, 33016, US |
| ZIP code: | 33016 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053718130 | 2014-12-04 | 2014-12-04 | 2700 W 81ST ST, HIALEAH, FL, 330162732, US | 2700 81RST STREET WEST, HIALEAH, FL, 33016, US | |||||||||||||||||||
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| Phone | +1 305-728-1534 |
| Fax | 3053251313 |
Authorized person
| Name | LINDA GLUCK |
| Role | VICE PRESIDENT |
| Phone | 3057281534 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 9091 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LUSTIG ROY RESQ. | Agent | 20900 NE 30th Avenue, Aventura, FL, 33180 |
| Name | Role | Address |
|---|---|---|
| Gluck Linda | President | 2700 WEST 81ST STREET, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Betty | Chief Financial Officer | 2700 WEST 81ST STREET, HIALEAH, FL, 33016 |
| Name | Role | Address |
|---|---|---|
| WALKER LINDA | Chief Operating Officer | 2700 West 81st Street, Hialeah, FL, 33016 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000023667 | THE JANE ADAMS HOUSE | ACTIVE | 2015-03-05 | 2026-12-31 | No data | 2700 W. 81 STREET, HIALEAH, FL, 33016 |
| G15000016995 | THE JANE ADAMS HOUSE | ACTIVE | 2015-02-17 | 2025-12-31 | No data | 1550 NECTARINE STREET, FERNANDINA BEACH, FL, 32034 |
| 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 |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-05 | 2700 West 81st Street, Hialeah, FL 33016 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-07 |
| ANNUAL REPORT | 2018-01-05 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
