| Entity Name: | BROWNSTONE MANOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Oct 2005 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2013 (11 years ago) |
| Document Number: | P05000142001 |
| FEI/EIN Number | 432082275 |
| Address: | 6332 FLORIDA CIRCLE WEST, APOLLO BEACH, FL, 33572 |
| Mail Address: | 13714 SIGLER STREET, RIVERVIEW, FL, 33579 |
| ZIP code: | 33572 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548840168 | 2021-04-08 | 2021-04-08 | 6332 FLORIDA CIR W, APOLLO BEACH, FL, 335722533, US | 6332 FLORIDA CIR W, APOLLO BEACH, FL, 335722533, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-541-4703 |
Authorized person
| Name | NICOLE BROWN |
| Role | OWNER |
| Phone | 8135414105 |
Taxonomy
| Taxonomy Code | 163WA2000X - Administrator Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WH0200X - Home Health Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | No |
| Taxonomy Code | 164W00000X - Licensed Practical Nurse |
| Is Primary | No |
| Taxonomy Code | 251E00000X - Home Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 373H00000X - Day Training/Habilitation Specialist |
| Is Primary | No |
| Taxonomy Code | 3747P1801X - Personal Care Attendant |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BROWN NICOLE | Agent | 13714 SIGLER STREET, RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| BROWN NICOLE A | Director | 13714 SIGLER STREET, RIVERVIEW, FL, 33579 |
| TIMMER LOUIS | Director | 11752 NEWBERRY GROVE LOOP, RIVERVIEW, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| BROWN ANH QMR. | Officer | 13714 SIGLER STREET, RIVERVIEW, FL, 33579 |
| TIMMER KAYE | Officer | 11752 NEWBERRY GROVE LOOP, RIVERVIEW, FL, 33579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2013-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CANCEL ADM DISS/REV | 2007-10-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-10-08 | 6332 FLORIDA CIRCLE WEST, APOLLO BEACH, FL 33572 | No data |
| CHANGE OF MAILING ADDRESS | 2007-10-08 | 6332 FLORIDA CIRCLE WEST, APOLLO BEACH, FL 33572 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-01 |
| ANNUAL REPORT | 2021-04-01 |
| ANNUAL REPORT | 2020-04-04 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-02-26 |
| ANNUAL REPORT | 2015-02-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
