| Entity Name: | SHIRLEY'S PERSONAL CARE SERVICES OF LEHIGH ACRES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Mar 2005 (20 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P05000048716 |
| FEI/EIN Number | 203034397 |
| Address: | 45 N ALABAMA RD, SUITE #3, LEHIGH ACRES, FL, 33936, LE |
| Mail Address: | 45 N ALABAMA RD, SUITE #3, LEHIGH ACRES, FL, 33936, LE |
| ZIP code: | 33936 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164699872 | 2008-05-12 | 2008-05-12 | 45 ALABAMA RD N, SUITE # 3, LEHIGH ACRES, FL, 339366829, US | 45 ALABAMA RD N, SUITE # 3, LEHIGH ACRES, FL, 339366829, US | |||||||||||||||||||||||||
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| Phone | +1 239-303-2422 |
| Fax | 2393032922 |
Authorized person
| Name | MS. LISA WEATHERFORD |
| Role | ADMINISTRATOR |
| Phone | 2393032422 |
Taxonomy
| Taxonomy Code | 251E00000X - Home Health Agency |
| License Number | 30211194 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 687043101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAKER SHIRLEY | Agent | 1550 SOUTH OCEAN DRIVE, FORT PIERCE, FL, 34949 |
| Name | Role | Address |
|---|---|---|
| BAKER SHIRLEY | Director | 1550 SOUTH OCEAN DRIVE APT. D20, FORT PIERCE, FL, 34949 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-16 | 1550 SOUTH OCEAN DRIVE, APT. D20, FORT PIERCE, FL 34949 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-02-04 | 45 N ALABAMA RD, SUITE #3, LEHIGH ACRES, FL 33936 LE | No data |
| CHANGE OF MAILING ADDRESS | 2008-02-04 | 45 N ALABAMA RD, SUITE #3, LEHIGH ACRES, FL 33936 LE | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12000991888 | LAPSED | 1000000362570 | LEE | 2012-11-26 | 2022-12-14 | $ 547.84 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT PIERCE SERVICE CENTER, 337 N US HIGHWAY 1 STE 207-B, FORT PIERCE FL349504255 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-04-16 |
| ANNUAL REPORT | 2008-02-04 |
| ANNUAL REPORT | 2007-01-13 |
| ANNUAL REPORT | 2006-02-23 |
| Domestic Profit | 2005-03-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
