| Entity Name: | MANATEE ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Sep 2001 (23 years ago) |
| Document Number: | P01000093276 |
| FEI/EIN Number | 651140320 |
| Address: | 2524 9TH AVENUE EAST, BRADENTON, FL, 34208 |
| Mail Address: | 2524 9TH AVENUE EAST, BRADENTON, FL, 34208 |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770891335 | 2010-09-16 | 2010-12-01 | 2524 9TH AVE E, BRADENTON, FL, 342083010, US | 2524 9TH AVE E, BRADENTON, FL, 342083010, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 941-704-9861 |
Authorized person
| Name | MAGGIE GIBBS |
| Role | PRESIDENT |
| Phone | 9417049861 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | AL10165 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 691221498 |
| State | FL |
| Issuer | MEDICAID |
| Number | 691221496 |
| State | FL |
| Issuer | MEDICAID |
| Number | 141742800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GIBBS-WHEELER MAGGIE | Agent | 2422 Cumberland Cliff Drive, Ruskin, FL, 33570 |
| Name | Role | Address |
|---|---|---|
| GAYNOR LATISHA | Vice President | 2207 52nd Avenue East, BRADENTON, FL, 34203 |
| GIBBS ERVIN J | Vice President | 2217 4th Street Southwest, Ruskin, FL, 33570 |
| Name | Role | Address |
|---|---|---|
| BURGESS CARLA | Manager | 2509 11TH AVE E, BRADENTON, FL, 34208 |
| Name | Role | Address |
|---|---|---|
| GIBBS-WHEELER MAGGIE | President | 2422 CUMBERLAND CLIFF DRIVE, RUSKIN, FL, 33570 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000012110 | MANATEE COMPANION SERVICES | ACTIVE | 2024-01-22 | 2029-12-31 | No data | 2509 11TH AVENUE EAST, BRADENTON, FL, 34208 |
| G13000083278 | WORLDWIDE GROUP HOME | EXPIRED | 2013-08-21 | 2018-12-31 | No data | 2509 11TH AVE. EAST, BRADENTON,, FL, 34208 |
| G13000058524 | WORLD WIDE GROUP HOME | EXPIRED | 2013-06-12 | 2018-12-31 | No data | 2509 11TH AVE. EAST, BRADENTON, FL, 34208 |
| G10000085410 | MANATEE COMPANION SERVICES | ACTIVE | 2010-09-16 | 2025-12-31 | No data | 2509 11TH AVENUE EAST, BRADENTON, FL, 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-09-01 | 2524 9TH AVENUE EAST, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2025-09-01 | 2524 9TH AVENUE EAST, BRADENTON, FL 34208 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-12 | GIBBS-WHEELER, MAGGIE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-02-12 | 2422 Cumberland Cliff Drive, Ruskin, FL 33570 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-02-11 |
| ANNUAL REPORT | 2016-02-15 |
| ANNUAL REPORT | 2015-02-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
