| Entity Name: | ANALINE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Oct 2002 (22 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 03 May 2006 (19 years ago) |
| Document Number: | P02000111762 |
| FEI/EIN Number | 061654041 |
| Address: | 1270 ORANGE CAMP ROAD, DELAND, FL, 32724, US |
| Mail Address: | 1515 COVERED BRIDGE DRIVE, DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447495288 | 2008-12-09 | 2024-06-26 | 1515 COVERED BRIDGE DR, DELAND, FL, 327247990, US | 1515 COVERED BRIDGE DR, DELAND, FL, 327247990, US | |||||||||||||||||||||
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| Phone | +1 386-734-4442 |
| Fax | 3867344153 |
Authorized person
| Name | MRS. ANA ROSA RANDOLPH |
| Role | ADMINISTRATOR |
| Phone | 3867344442 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 686574700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RANDOLPH ANA | Agent | 1515 COVERED BRIDGE ROAD, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| RANDOLPH ANA | President | 1515 COVERED BRIDGE ROAD, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| RANDOLPH ANA | Secretary | 1515 COVERED BRIDGE ROAD, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| RANDOLPH ANA | Director | 1515 COVERED BRIDGE ROAD, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| RANDOLPH ANDREW J | Vice President | 1515 COVERED BRIDGE DRIVE, DELAND, FL, 32724 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000133933 | SENDER RETREAT | ACTIVE | 2016-12-13 | 2026-12-31 | No data | 1515 COVERED BRIDGE DR, DELAND, FL, 32724 |
| G08312900160 | SENDER RETREAT | EXPIRED | 2008-11-07 | 2013-12-31 | No data | 1515 COVERED BRIDGE DRIVE, DELAND, FL, 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-11-09 | 1270 ORANGE CAMP ROAD, DELAND, FL 32724 | No data |
| CANCEL ADM DISS/REV | 2006-05-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2003-02-10 | 1270 ORANGE CAMP ROAD, DELAND, FL 32724 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-17 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-21 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-26 |
| AMENDED ANNUAL REPORT | 2015-05-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
