| Entity Name: | HOMECARE VILLA, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 08 Sep 2005 (19 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | P05000124725 |
| FEI/EIN Number | 203786678 |
| Address: | 9039 N W 20 MNR, CORAL SPRINGS, FL, 33071 |
| Mail Address: | 7101 NW 77th St,., Tamarac, FL, 33321, US |
| ZIP code: | 33071 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861845653 | 2016-07-18 | 2016-07-18 | 9039 NW 20TH MNR, CORAL SPRINGS, FL, 330716138, US | 9039 NW 20TH MNR, CORAL SPRINGS, FL, 330716138, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 954-224-9677 |
| Fax | 9547533090 |
Authorized person
| Name | MR. DONALD ARTHUR |
| Role | OWNER |
| Phone | 9542249677 |
Taxonomy
| Taxonomy Code | 305S00000X - Point of Service |
| License Number | AL10898 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10898 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007872000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCARTHY Dale | Agent | 9039 NW 20th Manor,, Coral Springs, FL, 33071 |
| Name | Role | Address |
|---|---|---|
| Arthur Donald | Director | 7101 NW 77th St,., Tamarac, FL, 33321 |
| Name | Role | Address |
|---|---|---|
| Arthur Merle J | Secretary | 7101 NW 77th St,., Tamarac, FL, 33321 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-09 | 9039 NW 20th Manor,, Coral Springs, FL 33071 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-09 | 9039 N W 20 MNR, CORAL SPRINGS, FL 33071 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-10 | MCCARTHY, Dale | No data |
| CANCEL ADM DISS/REV | 2008-02-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-07 | 9039 N W 20 MNR, CORAL SPRINGS, FL 33071 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-04-03 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-04 |
| ANNUAL REPORT | 2014-03-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
