Search icon

SERENITY ADULT FAMILY CARE HOME, INC.

Company Details

Entity Name: SERENITY ADULT FAMILY CARE HOME, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 16 Jan 2004 (21 years ago)
Date of dissolution: 15 Sep 2006 (18 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 15 Sep 2006 (18 years ago)
Document Number: P04000013475
FEI/EIN Number 200669268
Address: 1702 FARMINGTON CIR, WELLINGTON, FL, 33414
Mail Address: 1702 FARMINGTON CIR, WELLINGTON, FL, 33414
ZIP code: 33414
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790192979 2014-07-19 2014-07-19 748 MELLOWOOD AVE, ORLANDO, FL, 328258077, US 748 MELLOWOOD AVE, ORLANDO, FL, 328258077, US

Contacts

Phone +1 407-219-4283

Authorized person

Name MS. MARCIA MILLER
Role OWNER/ADMINISTRATOR
Phone 4072194283

Taxonomy

Taxonomy Code 311ZA0620X - Adult Care Home Facility
License Number 6906686
State FL
Is Primary Yes

Agent

Name Role Address
HILLMAN PHILBERT Agent 3551 NW 95TH TERR UNIT 303, SUNRISE, FL, 33351

President

Name Role Address
JEANTY GUY President 55 SIMONTON CIR, WESTON, FL, 33326

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2005-05-05
Domestic Profit 2004-01-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State