| Entity Name: | HOME AT LAST OF BREVARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
HOME AT LAST OF BREVARD, 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: | 25 Jun 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 19 May 2009 (16 years ago) |
| Document Number: | P02000070248 |
| FEI/EIN Number |
421541455
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2475 Palm Bay Rd. Suite 225, Palm Bay, FL, 32905, US |
| Mail Address: | 2475 Palm Bay Rd. Suite 225, Palm Bay, FL, 32905, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508169657 | 2010-12-13 | 2010-12-13 | 2333 JUPITER BLVD SW, PALM BAY, FL, 329083416, US | 2333 JUPITER BLVD SW, PALM BAY, FL, 329083416, US | |||||||||||||||||||||||||||
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| Phone | +1 321-508-4639 |
Authorized person
| Name | MR. ALVIN PAYNE |
| Role | PRESIDENT |
| Phone | 3215084639 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID WAIVER |
| Number | 674701996 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAYNE ALVIN | President | 2598 Jaremko Ave. SE., PALM BAY, FL, 32909 |
| Payne Chanell L | Officer | 2598 Jaremko Ave. SE, Palm Bay, FL, 32909 |
| Johnson Tiffany | Director | 759 Hainey St, Palm Bay, FL, 32908 |
| PAYNE ALVIN | Agent | 2598 Jaremko Ave. SE, PALM BAY, FL, 32909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-10 | 2475 Palm Bay Rd. Suite 225, Palm Bay, FL 32905 | - |
| CHANGE OF MAILING ADDRESS | 2019-04-10 | 2475 Palm Bay Rd. Suite 225, Palm Bay, FL 32905 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-15 | 2598 Jaremko Ave. SE, PALM BAY, FL 32909 | - |
| CANCEL ADM DISS/REV | 2009-05-19 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | - | - |
| CANCEL ADM DISS/REV | 2006-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| CANCEL ADM DISS/REV | 2005-12-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000850112 | TERMINATED | 1000000184197 | BREVARD | 2010-08-10 | 2020-08-18 | $ 6,015.20 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, COCOA SERVICE CENTER, 2428 CLEARLAKE RD STE M, COCOA FL329225731 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| AMENDED ANNUAL REPORT | 2023-03-12 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-03-24 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-10 |
| AMENDED ANNUAL REPORT | 2018-06-06 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9608928506 | 2021-03-12 | 0455 | PPP | 123 Lancha Cir Unit 305, Indian Harbour Beach, FL, 32937-2631 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
