| Entity Name: | LAURELWOOD CARE, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Dec 2006 (18 years ago) |
| Date of dissolution: | 24 Sep 2010 (14 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2010 (14 years ago) |
| Document Number: | P06000155708 |
| FEI/EIN Number | 208092955 |
| Address: | 1903 MERCER AVE, LEHIGH ACRES, FL, 33972 |
| Mail Address: | 1903 MERCER AVE, LEHIGH ACRES, FL, 33972 |
| ZIP code: | 33972 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063672848 | 2008-06-15 | 2008-06-15 | 1903 MERCER AVE, LEHIGH ACRES, FL, 339722903, US | 1903 MERCER AVE, LEHIGH ACRES, FL, 339722903, US | |||||||||||||||||||||||||
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| Phone | +1 239-337-3583 |
| Fax | 2393373583 |
Authorized person
| Name | MRS. SHAWN M STEINER |
| Role | OWNER |
| Phone | 2398224726 |
Taxonomy
| Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | 089304 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 691888396 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SADDLAR CHERISE S | Agent | 1417 IRONDALE ST, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| SADDLAR CHERISE S | President | 1417 IRONDALE ST, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| SADDLAR CHERISE S | Secretary | 1417 IRONDALE ST, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| SADDLAR CHERISE S | Treasurer | 1417 IRONDALE ST, LEHIGH ACRES, FL, 33936 |
| Name | Role | Address |
|---|---|---|
| SADDLAR DELROY H | Vice President | 1417 IRONDALE ST, LEHIGH ACRES, FL, 33936 |
| BLACKMORE ANDRE V | Vice President | 121 COOLIDGE AVE, LEHIGH ACRES, FL, 33936 |
| BLACKMORE CORY A | Vice President | 1801 W 9TH ST, LEHIGH ACRES, FL, 33972 |
| BLACKMORE WINSOME P | Vice President | 1801 W 9TH ST, LEHIGH ACRES, FL, 33972 |
| BLACKMORE MIKLOS S | Vice President | 1801 W 9TH ST, LEHIGH ACRES, FL, 33972 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-03-22 | SADDLAR, CHERISE SPST | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-03-22 | 1417 IRONDALE ST, LEHIGH ACRES, FL 33936 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001009664 | ACTIVE | 1000000414102 | LEE | 2012-12-03 | 2032-12-14 | $ 330.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, FORT MYERS SERVICE CENTER, 2295 VICTORIA AVE STE 270, FORT MYERS FL339013871 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2009-03-22 |
| Off/Dir Resignation | 2008-12-15 |
| ANNUAL REPORT | 2008-05-01 |
| ANNUAL REPORT | 2007-02-27 |
| Domestic Profit | 2006-12-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
