| Entity Name: | PALMS VILLA RETIREMENT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PALMS VILLA RETIREMENT HOME, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| 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: | 17 Nov 2000 (24 years ago) |
| Document Number: | P00000107743 |
| FEI/EIN Number |
651056389
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2131 NW 28TH ST, OAKLAND PARK, FL, 33311 |
| Mail Address: | 2131 NW 28TH ST, OAKLAND PARK, FL, 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083866818 | 2008-10-10 | 2020-08-26 | 2131 NW 28TH ST, OAKLAND PARK, FL, 333112136, US | 2131 NW 28TH ST, OAKLAND PARK, FL, 333112136, US | |||||||||||||||||||||||||
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| Phone | +1 954-484-1350 |
| Fax | 9545270505 |
Authorized person
| Name | JASON KISSOONLAL |
| Role | PRESIDENT |
| Phone | 9544841350 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL4990 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140622100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kissoonlal Jason | Agent | 2131 NW 28TH ST, OAKLAND PARK, FL, 33311 |
| PALMS VILLA RETIREMENT HOME, INC. | Director | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000128051 | PALMS VILLA | ACTIVE | 2016-11-29 | 2026-12-31 | - | 2131 NW 28TH STREET, OAKLAND PARK, FL, 33311 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-21 | Kissoonlal, Jason | - |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-06 | 2131 NW 28TH ST, OAKLAND PARK, FL 33311 | - |
| CHANGE OF MAILING ADDRESS | 2005-04-06 | 2131 NW 28TH ST, OAKLAND PARK, FL 33311 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-06 | 2131 NW 28TH ST, OAKLAND PARK, FL 33311 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-22 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6043957310 | 2020-04-30 | 0455 | PPP | 2131 NW 28TH ST, OAKLAND PARK, FL, 33311-2136 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
