| Entity Name: | EVERLASTING GRACE ASSISTED LIVING INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Sep 2005 (19 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P05000131704 |
| FEI/EIN Number | 161734566 |
| Address: | 747 BON AIR STREET, LAKELAND, FL, 33805 |
| Mail Address: | 747 BON AIR STREET, LAKELAND, FL, 33805 |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770742231 | 2008-06-09 | 2008-06-09 | 747 BON AIR ST, LAKELAND, FL, 338054631, US | 1325 4TH ST N, ST PETERSBURG, FL, 337011117, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 863-688-1196 |
| Fax | 8636877707 |
| Phone | +1 727-823-6812 |
| Fax | 7278222334 |
Authorized person
| Name | MS. PIER GASMENA |
| Role | PRESIDENT |
| Phone | 8635957353 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL # 5195 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142552800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SWEAT & OLSON, P.A. | Agent | 2018 S FLORIDA AVE, LAKELAND, FL, 33803 |
| Name | Role | Address |
|---|---|---|
| GASMENA PIER A | President | 747 BON AIR ST., LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-08-15 | 2018 S FLORIDA AVE, LAKELAND, FL 33803 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-08-15 | SWEAT & OLSON, P.A. | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-15 | 747 BON AIR STREET, LAKELAND, FL 33805 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-13 | 747 BON AIR STREET, LAKELAND, FL 33805 | No data |
| CANCEL ADM DISS/REV | 2007-07-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000267994 | ACTIVE | 1000000146692 | PINELLAS | 2009-11-04 | 2030-02-16 | $ 748.26 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-08-15 |
| ANNUAL REPORT | 2011-04-15 |
| ANNUAL REPORT | 2010-03-15 |
| ANNUAL REPORT | 2009-02-13 |
| ANNUAL REPORT | 2008-08-27 |
| ANNUAL REPORT | 2008-07-10 |
| REINSTATEMENT | 2007-07-15 |
| Domestic Profit | 2005-09-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
