| Entity Name: | PERSONAL TOUCH ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 18 Sep 2009 (15 years ago) |
| Date of dissolution: | 28 Dec 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Dec 2019 (5 years ago) |
| Document Number: | P09000078317 |
| FEI/EIN Number | 271008207 |
| Address: | 3030 N Rocky Point Dr, Tampa, FL, 33607, US |
| Mail Address: | PO BOX 147, OCALA, FL, 34478 |
| ZIP code: | 33607 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265723456 | 2011-04-22 | 2011-04-22 | PO BOX 147, OCALA, FL, 34478, US | 20 FIR TRAIL COURSE, OCALA, FL, 34472, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 352-292-3244 |
Authorized person
| Name | MS. JACQULINE R LILLY |
| Role | PRESIDENT |
| Phone | 3524849533 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11730 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 385H00000X - Respite Care |
| License Number | 11730 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001667200 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| LILLY JACQULINE R | President | 3030 N Rocky Point Dr, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| LILLY JACQULINE R | Secretary | 3030 N Rocky Point Dr, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| LILLY JACQULINE R | Treasurer | 3030 N Rocky Point Dr, Tampa, FL, 33607 |
| Name | Role | Address |
|---|---|---|
| LILLY JACQULINE R | Director | 3030 N Rocky Point Dr, Tampa, FL, 33607 |
| MILLER-LEWIS GLYN | Director | PO BOX 147, OCALA, FL, 34478 |
| Name | Role | Address |
|---|---|---|
| MILLER-LEWIS GLYN | Vice President | PO BOX 147, OCALA, FL, 34478 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-28 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-25 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-23 | 3030 N Rocky Point Dr, # 150A, Tampa, FL 33607 | No data |
| REGISTERED AGENT NAME CHANGED | 2018-04-23 | Registered Agents Inc. | No data |
| CHANGE OF MAILING ADDRESS | 2010-05-05 | 3030 N Rocky Point Dr, # 150A, Tampa, FL 33607 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-28 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-02-16 |
| ANNUAL REPORT | 2015-04-01 |
| ANNUAL REPORT | 2014-03-24 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-03-12 |
| ANNUAL REPORT | 2011-03-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
