| Entity Name: | BLUE HAVEN ASSISTED LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Nov 2010 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Mar 2020 (5 years ago) |
| Document Number: | P10000091031 |
| FEI/EIN Number | 273866453 |
| Address: | 33409 IRONGATE DRIVE, LEESBURG, FL, 34788, US |
| Mail Address: | 33409 IRONGATE DRIVE, LEESBURG, FL, 34788, US |
| ZIP code: | 34788 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518359363 | 2015-03-02 | 2015-03-02 | 33409 IRONGATE DR, LEESBURG, FL, 347883158, US | 35525 COUNTY ROAD 473, LEESBURG, FL, 347886161, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-314-0422 |
| Fax | 3523140423 |
Authorized person
| Name | LEYTONYA HARGROVE |
| Role | ADMINISTRATOR |
| Phone | 3524093585 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11984 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WATKINS AMBER | Agent | 33409 IRONGATE DRIVE, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| HARGROVE LEYTONYA | Chief Executive Officer | 33409 IRONGATE DRIVE, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| WATKINS AMBER | Secretary | 33409 IRONGATE DRIVE, LEESBURG, FL, 34788 |
| HARGROVE LEYTONYA | Secretary | 33409 IRONGATE DR, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| HARGROVE LEYTONYA | President | 33409 IRONGATE DR, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| HARGROVE LEYTONYA | Vice President | 33409 IRONGATE DR, LEESBURG, FL, 34788 |
| Name | Role | Address |
|---|---|---|
| HARGROVE LEYTONYA | Treasurer | 33409 IRONGATE DR, LEESBURG, FL, 34788 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2020-03-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-03-07 | WATKINS, AMBER | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-30 | 33409 IRONGATE DRIVE, LEESBURG, FL 34788 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-30 | 33409 IRONGATE DRIVE, LEESBURG, FL 34788 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-31 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-03-17 |
| REINSTATEMENT | 2020-03-07 |
| ANNUAL REPORT | 2018-05-14 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
