Entity Name: | AMBER PLACE INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Inactive |
Date Filed: | 15 Oct 2007 (17 years ago) |
Date of dissolution: | 23 Sep 2022 (2 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 23 Sep 2022 (2 years ago) |
Document Number: | P07000112915 |
FEI/EIN Number | 711042348 |
Address: | 2365 W. AMBER PLACE, CITRUS SPRINGS, FL, 34434, US |
Mail Address: | 2365 W. AMBER PLACE, CITRUS SPRINGS, FL, 34434, US |
ZIP code: | 34434 |
County: | Citrus |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1558664078 | 2010-12-06 | 2010-12-06 | 2365 W AMBER PL, CITRUS SPRINGS, FL, 344344006, US | 2365 W AMBER PL, CITRUS SPRINGS, FL, 344344006, US | |||||||||||||||||||||||||
|
Phone | +1 352-489-6444 |
Fax | 3524896444 |
Authorized person
Name | MRS. MARCIA ANGELLA WELLINGTON |
Role | ADMINISTRATOR |
Phone | 3524896444 |
Taxonomy
Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
License Number | AL11222 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 692012896 |
State | FL |
Name | Role | Address |
---|---|---|
WELLINGTON MARCIA A | Agent | 2365 W. AMBER PLACE, CITRUS SPRINGS, FL, 34434 |
Name | Role | Address |
---|---|---|
WELLINGTON MARCIA A | Director | 2365 W Amber Pl, CITRUS SPRINGS, FL, 34434 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2021-02-16 |
ANNUAL REPORT | 2020-02-20 |
ANNUAL REPORT | 2019-03-09 |
ANNUAL REPORT | 2018-03-10 |
ANNUAL REPORT | 2017-03-17 |
ANNUAL REPORT | 2016-03-26 |
ANNUAL REPORT | 2015-02-24 |
ANNUAL REPORT | 2014-03-15 |
ANNUAL REPORT | 2013-02-07 |
ANNUAL REPORT | 2012-04-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State