Entity Name: | LOVING CARE LIVING FACILITY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 10 Jan 2006 (19 years ago) |
Document Number: | P06000004004 |
FEI/EIN Number | 204121605 |
Address: | 76 BRUEN ST, ST AUGUSTINE, FL, 32084 |
Mail Address: | P.O. Box 588, ST AUGUSTINE, FL, 32085-0588, US |
ZIP code: | 32084 |
County: | St. Johns |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750398541 | 2006-08-02 | 2020-08-22 | PO BOX 588, ST AUGUSTINE, FL, 320850588, US | 76 BRUEN ST, ST AUGUSTINE, FL, 320843406, US | |||||||||||||||||||
|
Phone | +1 904-824-6616 |
Fax | 9047977440 |
Authorized person
Name | MR. THOMAS J JACKSON II |
Role | BUSINESS MGR/OWNER |
Phone | 9048246616 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL8149 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JACKSON BARBARA P | Agent | 76 BRUEN ST, ST AUGUSTINE, FL, 32084 |
Name | Role | Address |
---|---|---|
JACKSON THOMAS | Vice President | 917 CHIPPEWA ST., SAINT AUGUSTINE, FL, 32086 |
Name | Role | Address |
---|---|---|
JACKSON THOMAS | Treasurer | 917 CHIPPEWA ST., SAINT AUGUSTINE, FL, 32086 |
Name | Role | Address |
---|---|---|
JACKSON THOMAS | Director | 917 CHIPPEWA ST., SAINT AUGUSTINE, FL, 32086 |
JACKSON BARBARA | Director | 917 CHIPPEWA ST, SAINT AUGUSTINE, FL, 32086 |
Name | Role | Address |
---|---|---|
JACKSON BARBARA | President | 917 CHIPPEWA ST, SAINT AUGUSTINE, FL, 32086 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2015-04-11 | 76 BRUEN ST, ST AUGUSTINE, FL 32084 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-15 |
ANNUAL REPORT | 2023-04-02 |
ANNUAL REPORT | 2022-04-11 |
ANNUAL REPORT | 2021-03-14 |
ANNUAL REPORT | 2020-03-02 |
ANNUAL REPORT | 2019-03-03 |
ANNUAL REPORT | 2018-03-12 |
ANNUAL REPORT | 2017-03-12 |
ANNUAL REPORT | 2016-04-08 |
ANNUAL REPORT | 2015-04-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State