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LOVING CARE LIVING FACILITY, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
JACKSON BARBARA P Agent 76 BRUEN ST, ST AUGUSTINE, FL, 32084

Vice President

Name Role Address
JACKSON THOMAS Vice President 917 CHIPPEWA ST., SAINT AUGUSTINE, FL, 32086

Treasurer

Name Role Address
JACKSON THOMAS Treasurer 917 CHIPPEWA ST., SAINT AUGUSTINE, FL, 32086

Director

Name Role Address
JACKSON THOMAS Director 917 CHIPPEWA ST., SAINT AUGUSTINE, FL, 32086
JACKSON BARBARA Director 917 CHIPPEWA ST, SAINT AUGUSTINE, FL, 32086

President

Name Role Address
JACKSON BARBARA President 917 CHIPPEWA ST, SAINT AUGUSTINE, FL, 32086

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2015-04-11 76 BRUEN ST, ST AUGUSTINE, FL 32084 No data

Documents

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