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COUNTRY LIVING ASSISTED CARE CENTER, INC. - Florida Company Profile

Company Details

Entity Name: COUNTRY LIVING ASSISTED CARE CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

COUNTRY LIVING ASSISTED CARE CENTER, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Dec 2007 (17 years ago)
Document Number: P07000132858
FEI/EIN Number 261588160

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1762 SW ARCH ST., PORT SAINT LUCIE, FL, 34953
Mail Address: 1762 SW ARCH ST., PORT SAINT LUCIE, FL, 34953
ZIP code: 34953
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417135682 2008-02-09 2008-10-31 1762 SW ARCH ST, PORT SAINT LUCIE, FL, 349531558, US 1762 SW ARCH ST, PORT SAINT LUCIE, FL, 349531558, US

Contacts

Phone +1 772-621-8211
Fax 7726218211

Authorized person

Name CAROL ANN CAMMARSANA
Role ADM
Phone 7726261150

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL11331
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDWAIVER
Number 692697596
State FL

Key Officers & Management

Name Role Address
EDGETT DAVID C President 1762 SW ARCH ST, PORT SAINT LUCIE, FL, 34953
EDGETT CHRISTINE A Vice President 1762 SW ARCH ST, PORT SAINT LUCIE, FL, 34953
EDGETT CHRISTINE A Treasurer 1762 SW ARCH ST, PORT SAINT LUCIE, FL, 34953
CAMMARASANA CAROL A Secretary 1762 SW Arch St, PORT SAINT LUCIE, FL, 34953
EDGETT CHRISTINE Agent 1762 SW ARCH ST, PORT SAINT LUCIE, FL, 34953

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2010-04-20 1762 SW ARCH ST., PORT SAINT LUCIE, FL 34953 -
REGISTERED AGENT ADDRESS CHANGED 2010-04-20 1762 SW ARCH ST, PORT SAINT LUCIE, FL 34953 -
REGISTERED AGENT NAME CHANGED 2008-04-30 EDGETT, CHRISTINE -

Documents

Name Date
ANNUAL REPORT 2024-04-03
ANNUAL REPORT 2023-03-31
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-06-04
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-04-12
ANNUAL REPORT 2017-04-06
ANNUAL REPORT 2016-04-01
ANNUAL REPORT 2015-04-02

Date of last update: 03 Apr 2025

Sources: Florida Department of State