| Entity Name: | BELLE VISTA BLUFFS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 12 Nov 2002 (22 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P02000121507 |
| FEI/EIN Number | 030496632 |
| Address: | 1138 ROSEMARY DRIVE, LARGO, FL, 33770 |
| Mail Address: | 1138 ROSEMARY DRIVE, LARGO, FL, 33770 |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730432980 | 2012-10-24 | 2014-07-21 | 1138 ROSEMARY DR, LARGO, FL, 337704219, US | 1138 ROSEMARY DR, LARGO, FL, 337704219, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-587-0887 |
| Fax | 7275882397 |
Authorized person
| Name | BEVERLY C. MACKIN |
| Role | ADMINISTRATOR |
| Phone | 7275870887 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7888 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7261 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 674094401 |
| State | FL |
| Issuer | MEDICAID |
| Number | 674094496 |
| State | FL |
| Issuer | MEDICAID |
| Number | 674094403 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MACKIN BEVERLY C | Agent | 1138 ROSEMARY DRIVE, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| MACKIN BEVERLY C | Director | 130 MIDWAY ISLAND, CLEARWATER, FL, 33767 |
| Name | Role | Address |
|---|---|---|
| MACKIN BEVERLY C | President | 130 MIDWAY ISLAND, CLEARWATER, FL, 33767 |
| Name | Role | Address |
|---|---|---|
| MACKIN BEVERLY C | Secretary | 130 MIDWAY ISLAND, CLEARWATER, FL, 33767 |
| Name | Role | Address |
|---|---|---|
| MACKIN BEVERLY C | Treasurer | 130 MIDWAY ISLAND, CLEARWATER, FL, 33767 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2003-03-13 | MACKIN, BEVERLY C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2003-03-13 | 1138 ROSEMARY DRIVE, LARGO, FL 33770 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-20 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-06-08 |
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-02-11 |
| ANNUAL REPORT | 2012-01-06 |
| ANNUAL REPORT | 2011-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
