| Entity Name: | PRESTIGE GROUP HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 25 Feb 2004 (21 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Dec 2011 (13 years ago) |
| Document Number: | P04000036311 |
| FEI/EIN Number | 341997518 |
| Address: | 2278 SW Plymouth St, PORT ST. LUCIE, FL, 34953, US |
| Mail Address: | 2278 SW Plymouth St, PORT ST. LUCIE, FL, 34953, US |
| ZIP code: | 34953 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548979800 | 2022-11-15 | 2022-11-15 | 2278 SW PLYMOUTH ST, PORT SAINT LUCIE, FL, 349532379, US | 2278 SW PLYMOUTH ST, PORT SAINT LUCIE, FL, 349532379, US | |||||||||||||||||||||
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| Fax | 7727772088 |
| Phone | +1 772-879-4575 |
Authorized person
| Name | MS. TANYA GEORGES |
| Role | SECRETARY/DIRECTOR |
| Phone | 7723498608 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 685946196 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SEMEXANT MARIE M | Agent | 2278 SW Plymouth St, PORT ST. LUCIE, FL, 34953 |
| Name | Role | Address |
|---|---|---|
| SEMEXANT MARIE M | Director | 2114 SE. BISBEE STREET, PORT ST. LUCIE, FL, 34952 |
| GEORGES TANYA | Director | 5751 NW. COTTON DR, PORT ST. LUCIE, FL, 34986 |
| Name | Role | Address |
|---|---|---|
| SEMEXANT MARIE M | President | 2114 SE. BISBEE STREET, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| GEORGES TANYA | Secretary | 5751 NW. COTTON DR, PORT ST. LUCIE, FL, 34986 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000094242 | PRESTIGE 1 GROUP HOME | EXPIRED | 2014-09-15 | 2024-12-31 | No data | 6455 NW FAVIAN COURT, PORT SAINT LUCIE, FL, 34986 |
| G14000094246 | PRESTIGE 2 GOURP HOME | ACTIVE | 2014-09-15 | 2029-12-31 | No data | 2278 SW PLYMOUTH ST, PORT SAINT LUCIE, FL, 34953 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-09-13 | 2278 SW Plymouth St, PORT ST. LUCIE, FL 34953 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-13 | 2278 SW Plymouth St, PORT ST. LUCIE, FL 34953 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-13 | 2278 SW Plymouth St, PORT ST. LUCIE, FL 34953 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-03 | SEMEXANT, MARIE M | No data |
| REINSTATEMENT | 2011-12-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REINSTATEMENT | 2006-10-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-01-27 |
| AMENDED ANNUAL REPORT | 2021-09-13 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-01-30 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-07-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
