| Entity Name: | NEW LIFE ADULT CARE II, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Sep 2002 (22 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | P02000095899 |
| FEI/EIN Number | 020642780 |
| Address: | 11705 Arbor Mead Ave, Riverview, FL, 33569, US |
| Mail Address: | 11705 Arbor Mead Ave, Riverview, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508096454 | 2009-07-24 | 2020-03-19 | 710 OAKFIELD DR STE 116, BRANDON, FL, 335114931, US | 710 OAKFIELD DR STE 116, BRANDON, FL, 335114931, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-661-9453 |
| Fax | 8136549897 |
| Fax | 8136610155 |
Authorized person
| Name | MRS. ROSALINE SEABROOK |
| Role | ADMINISTRATOR |
| Phone | 8136619453 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211307 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11996 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 685573301 |
| State | FL |
| Issuer | MEDICAID |
| Number | 684811701 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SEABROOK ROSALINE | Agent | 11705 Arbor Mead Ave, Riverview, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| SEABROOK ROSALINE | President | 11705 Arbor Mead, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| SEABROOK ROSALINE | Secretary | 11705 Arbor Mead, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| SEABROOK ROSALINE | Director | 11705 Arbor Mead, BRANDON, FL, 33511 |
| SEABROOK JOHNNY | Director | 11705 Arbor Mead Ave, Riverview, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| SEABROOK JOHNNY | Vice President | 11705 Arbor Mead Ave, Riverview, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| SEABROOK JOHNNY | Treasurer | 11705 Arbor Mead Ave, Riverview, FL, 33569 |
| Seabrook Johnny | Treasurer | 11705 Arbor Mead Ave, Riverview, FL, 33569 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G04062900157 | NEW LIFE ADULT CARE | EXPIRED | 2004-03-02 | 2024-12-31 | No data | 202 BEVERLY BLVD, RIVERVIEW, FL, 33569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 11705 Arbor Mead Ave, Riverview, FL 33569 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 11705 Arbor Mead Ave, Riverview, FL 33569 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 11705 Arbor Mead Ave, Riverview, FL 33569 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-06-14 | SEABROOK, ROSALINE | No data |
| AMENDMENT | 2005-01-03 | No data | No data |
| NAME CHANGE AMENDMENT | 2004-04-01 | NEW LIFE ADULT CARE II, INC. | No data |
| AMENDMENT | 2003-03-13 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-06-14 |
| ANNUAL REPORT | 2021-01-05 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-31 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-02-06 |
| ANNUAL REPORT | 2014-03-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
