| Entity Name: | 433 ORANGE DRIVE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Sep 2010 (14 years ago) |
| Document Number: | P10000073514 |
| FEI/EIN Number | 273382762 |
| Address: | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| Mail Address: | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003159294 | 2013-04-05 | 2013-04-05 | 13770 58TH ST N STE 312, CLEARWATER, FL, 337603759, US | 433 ORANGE DR, ALTAMONTE SPRINGS, FL, 327015377, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 727-726-3980 |
| Phone | +1 407-260-2433 |
Authorized person
| Name | DENNIS FORTE |
| Role | MANAGER |
| Phone | 7277263980 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7103 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | AL7103 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002973900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FORTE DENNIS | Agent | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| FORTE DENNIS | President | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| FORTE DENNIS | Secretary | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| FORTE DENNIS | Director | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| MOSCHNER JOHN | Asst | 13770 58TH STREET NORTH, SUITE 312, CLEARWATER, FL, 33760 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000091212 | GRAND VILLA OF ALTAMONTE SPRINGS | ACTIVE | 2010-10-05 | 2025-12-31 | No data | 13770 58TH STREET N, SUITE 312, CLEARWATER, FL, 33760 |
| Title | Case Number | Docket Date | Status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 433 ORANGE DRIVE, INC., ETC. VS AGENCY FOR HEALTH CARE ADMINISTRATION | 5D2015-3272 | 2015-09-17 | Closed | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | 433 ORANGE DRIVE, INC. |
| Role | Appellant |
| Status | Active |
| Representations | Amy L. Dilday |
| Name | GRAND VILLA OF ALTAMONTE SPRIN |
| Role | Appellant |
| Status | Active |
| Name | Clerk Agency Health Care |
| Role | Appellee |
| Status | Active |
| Representations | Tracy Cooper George |
Docket Entries
| Docket Date | 2015-10-30 |
| Type | Record |
| Subtype | Returned Records |
| Description | Returned Records ~ NO RECORD |
| Docket Date | 2015-10-30 |
| Type | Mandate |
| Subtype | Notice Memorandum |
| Description | Notice Memorandum |
| Docket Date | 2015-10-13 |
| Type | Disposition |
| Subtype | Dismissed |
| Description | Dismissed - Order by Clerk |
| Docket Date | 2015-10-13 |
| Type | Disposition by Order |
| Subtype | Dismissed |
| Description | Dism. Filing Fee |
| Docket Date | 2015-09-21 |
| Type | Notice |
| Subtype | Notice |
| Description | Notice ~ DESIGN OF EMAIL ADDRESSES |
| On Behalf Of | Clerk Agency Health Care |
| Docket Date | 2015-09-18 |
| Type | Misc. Events |
| Subtype | Miscellaneous Docket Entry |
| Description | Miscellaneous Docket Entry ~ CERTIFIED COPY NOA FILED 9/17/15; PE Clerk Agency For Health Ca 0389234 |
| Docket Date | 2015-09-17 |
| Type | Letter |
| Subtype | Acknowledgment Letter |
| Description | Acknowledgement Letter 1 |
| Docket Date | 2015-09-17 |
| Type | Misc. Events |
| Subtype | Fee Status |
| Description | A3:Paid In Full - $300 |
| Docket Date | 2015-09-17 |
| Type | Order |
| Subtype | Order on Filing Fee |
| Description | Order to pay filing fee - Administrative (300) |
| Docket Date | 2015-09-17 |
| Type | Notice |
| Subtype | Notice of Appeal |
| Description | Notice of Appeal Filed ~ fFILED HERE 9/17/15 |
| On Behalf Of | 433 ORANGE DRIVE, INC. |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-29 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
