Entity Name: | ADEPT RETIREMENT, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 21 Aug 2006 (18 years ago) |
Date of dissolution: | 23 Sep 2011 (13 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2011 (13 years ago) |
Document Number: | P06000108399 |
FEI/EIN Number | 208279832 |
Address: | 2700 SR 590, CLEARWATER, FL, 33759 |
Mail Address: | 620 LAKEMONT DR, BRANDON, FL, 33510 |
ZIP code: | 33759 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861643041 | 2008-10-06 | 2008-10-06 | 620 LAKEMONT DR, BRANDON, FL, 335102570, US | 2700 STATE ROAD 590, CLEARWATER, FL, 337592319, US | |||||||||||||||||||||||||||||||
|
Phone | +1 727-797-2523 |
Fax | 7277972523 |
Authorized person
Name | GEORGE MUKALEL |
Role | ADMINISTRATOR |
Phone | 8136851713 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL7828 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 6931634 98 |
State | FL |
Issuer | MEDICAID |
Number | 6931634 96 |
State | FL |
Name | Role | Address |
---|---|---|
MUKALEL GEORGE M | Agent | 620 LAKEMONT DR, BRANDON, FL, 33510 |
Name | Role | Address |
---|---|---|
MUKALEL GEORGE M | President | 620 LAKEMONT DR, BRANDON, FL, 33510 |
Name | Role | Address |
---|---|---|
MUKALEL LINET G | Vice President | 620 LAKEMONT DR, BRANDON, FL, 33510 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2008-05-04 | 2700 SR 590, CLEARWATER, FL 33759 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2010-04-30 |
ANNUAL REPORT | 2009-04-22 |
ANNUAL REPORT | 2008-05-04 |
ANNUAL REPORT | 2007-04-30 |
Domestic Profit | 2006-08-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State