| Entity Name: | ANGEL GUARDIAN ASSISTED LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
ANGEL GUARDIAN ASSISTED LIVING, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Jun 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | P04000094339 |
| FEI/EIN Number |
201244764
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 280, BAHAMA DR., FL, 32952 |
| Mail Address: | ANGEL GUARDIAN ASSISTED LIVING, 280 BAHAMA DR., MERRITT ISLAND, FL, 32952, US |
| ZIP code: | 32952 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649699265 | 2014-04-10 | 2020-05-21 | 280 BAHAMA DR., MERRITT ISLAND, FL, 32952, US | 280 BAHAMA DR, MERRITT ISLAND, FL, 329523605, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 321-848-0255 |
Authorized person
| Name | MS. ROSEANN J SIMONE |
| Role | ADMINISTRATOR |
| Phone | 3212238371 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10561 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PERSONAL SOCIAL SECURITY |
| Number | $$$$$$$$$ |
| State | NY |
| Issuer | AHCA LICENSE # |
| Number | AL10561 |
| State | FL |
| Issuer | PERSONAL NPI # |
| Number | 1184967184 |
| State | FL |
| Issuer | MEDICAID |
| Number | 008458000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SIMONE ROSEANN J | President | 3165 NORTH ATLANTIC AVE, COCOA BEACH, FL, 32931 |
| SIMONE ROSEANN J | Agent | 3165 NORTH ATLANTIC AVE, COCOA BEACH, FL, 32931 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF MAILING ADDRESS | 2016-01-18 | 280, BAHAMA DR., FL 32952 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-18 | 3165 NORTH ATLANTIC AVE, B403, COCOA BEACH, FL 32931 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-25 | 280, BAHAMA DR., FL 32952 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-14 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-01-23 |
| ANNUAL REPORT | 2014-01-12 |
| ANNUAL REPORT | 2013-04-16 |
| ANNUAL REPORT | 2012-02-01 |
| ANNUAL REPORT | 2011-04-26 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5101757401 | 2020-05-11 | 0455 | PPP | 280 BAHAMA DR, MERRITT ISLAND, FL, 32952-3605 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
