| Entity Name: | I & G ASSISTED LIVING FACILITY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Jan 2007 (18 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 16 Mar 2007 (18 years ago) |
| Document Number: | P07000006172 |
| FEI/EIN Number | 208244027 |
| Address: | 6560 HARBOR ROAD, NORTH LAUDERDALE, FL, 33068, US |
| Mail Address: | 6560 HARBOR ROAD, NORTH LAUDERDALE, FL, 33068, US |
| ZIP code: | 33068 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003119686 | 2010-12-21 | 2010-12-21 | 6560 HARBOUR RD, NORTH LAUDERDALE, FL, 330683838, US | 6560 HARBOUR RD, NORTH LAUDERDALE, FL, 330683838, US | |||||||||||||||||||||||
|
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| Phone | +1 754-234-4357 |
Authorized person
| Name | IMOGENE JOHNSON |
| Role | OWNER |
| Phone | 7542344357 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11032 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ACHA |
| Number | AL11032 |
| State | FL |
| Name | Role |
|---|---|
| REID'S INCOME TAX & COMPUTER SERVICE, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON IMOGENE | President | 6560 HARBOR ROAD, NORTH LAUDERDALE, FL, 33068 |
| Name | Role | Address |
|---|---|---|
| GARWOOD GREGORY | Vice President | 6560 HARBOR ROAD, NORTH LAUDERDALE, FL, 33068 |
| Powell Kera A | Vice President | 6560 HARBOR ROAD, NORTH LAUDERDALE, FL, 33068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2007-03-16 | I & G ASSISTED LIVING FACILITY, INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-22 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-03-16 |
| ANNUAL REPORT | 2018-02-14 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
