| Entity Name: | AVIS FOSTER CARE HOME INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 31 Jan 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2012 (12 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2012 (12 years ago) |
| Document Number: | P07000014235 |
| FEI/EIN Number | 208346933 |
| Address: | 4 SLUMBER MEADOW TRAIL, PALM COAST, FL, 32164 |
| Mail Address: | 4 SLUMBER MEADOW TRAIL, PALM COAST, FL, 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538338769 | 2008-02-21 | 2008-02-21 | 4 SLUMBER MEADOW TRL, PALM COAST, FL, 321645322, US | 4 SLUMBER MEADOW TRL, PALM COAST, FL, 321645322, US | |||||||||||||||||||||
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| Phone | +1 386-586-3030 |
| Fax | 3865867524 |
Authorized person
| Name | MS. AVIS LYNETTE BURROWS |
| Role | PRESIDENT |
| Phone | 3865863030 |
Taxonomy
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 693285198 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BURROWS AVIS L | Agent | 4 SLUMBER MEADOW TRAIL, PALM COAST, FL, 32164 |
| Name | Role | Address |
|---|---|---|
| BURROWS AVIS L | President | 4 SLUMBER MEADOW TRAIL, PALM COAST, FL, 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| PENDING REINSTATEMENT | 2014-02-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-03-16 |
| ANNUAL REPORT | 2010-02-18 |
| ANNUAL REPORT | 2009-03-27 |
| ANNUAL REPORT | 2008-04-22 |
| Domestic Profit | 2007-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
