| Entity Name: | WINNIFRED ASSISTED LIVING FACILITY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Aug 2010 (14 years ago) |
| Document Number: | P10000064933 |
| FEI/EIN Number | 273237258 |
| Address: | 1361 GINZA RD., N.W., PALM BAY, FL, 32907, US |
| Mail Address: | 1361 GINZA RD., N.W., PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194076695 | 2012-09-24 | 2012-09-24 | 1302 GINZA RD NW, PALM BAY, FL, 329077918, US | 1302 GINZA RD NW, PALM BAY, FL, 329077918, US | |||||||||||||||||||
|
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| Phone | +1 321-821-4699 |
| Fax | 3218214699 |
Authorized person
| Name | KAVINE BARRETT |
| Role | ADMINISTRATOR |
| Phone | 3218214699 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11950 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BARRETT-MCLAREN KAVINE L | Agent | 1237 ALAQUA WAY, WEST MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| BARRETT-MCLAREN KAVINE L | President | 1361 GINZA RD., N.W., PALM BAY, FL, 32907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-30 | 1361 GINZA RD., N.W., PALM BAY, FL 32907 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-30 | 1361 GINZA RD., N.W., PALM BAY, FL 32907 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-13 | BARRETT-MCLAREN, KAVINE L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-11 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-03-30 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
