| Entity Name: | HIDDEN PINES RETIREMENT CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jan 2010 (15 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P10000009079 |
| FEI/EIN Number | 271805534 |
| Address: | 1840 SW 31ST AVE, OCALA, FL, 34474, US |
| Mail Address: | P O BOX 771, OCALA, FL, 34478, US |
| ZIP code: | 34474 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649578832 | 2011-03-11 | 2011-03-11 | PO BOX 771, OCALA, FL, 344780771, US | 1840 SW 31ST AVE, OCALA, FL, 344742904, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-854-7171 |
| Fax | 3528541981 |
Authorized person
| Name | MRS. DALE ELAINE MEDINA |
| Role | ADMINISTRATOR |
| Phone | 3528547171 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5505 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140415600 |
| State | FL |
| Name | Role |
|---|---|
| HIDDEN PINES RETIREMENT CENTER INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MEDINA DALE E | President | P O BOX 771, OCALA, FL, 34478 |
| Name | Role | Address |
|---|---|---|
| MEDINA DALE E | Director | P O BOX 771, OCALA, FL, 34478 |
| MEDINA ROBERTO R | Director | P O BOX 771, OCALA, FL, 34478 |
| Name | Role | Address |
|---|---|---|
| MEDINA ROBERTO R | Vice President | P O BOX 771, OCALA, FL, 34478 |
| Name | Role | Address |
|---|---|---|
| CHOQUETTE RINA M | CLER | 819 NE 12TH TERRACE, OCALA, FL, 34470 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-03-12 | HIDDEN PINES RETIREMENT CENTER, INC. | No data |
| NAME CHANGE AMENDMENT | 2010-03-01 | HIDDEN PINES RETIREMENT CENTER INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-01-13 |
| ANNUAL REPORT | 2013-02-25 |
| ANNUAL REPORT | 2012-01-07 |
| ANNUAL REPORT | 2011-04-27 |
| Name Change | 2010-03-01 |
| Domestic Profit | 2010-01-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
