| Entity Name: | MANDEVILLE MANOR HEALTH SYSTEMS, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MANDEVILLE MANOR HEALTH SYSTEMS, INC is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 17 Nov 2010 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Oct 2024 (6 months ago) |
| Document Number: | P10000094063 |
| FEI/EIN Number |
273939532
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 24 Old Kings Rd N., PALM COAST, FL, 32137, US |
| Mail Address: | 24 Old Kings Rd N., PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | MANDEVILLE MANOR HEALTH SYSTEMS, INC, NEW YORK | 4273240 | NEW YORK |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427594944 | 2017-01-07 | 2017-01-07 | 40 PONCE DELEON DR, PALM COAST, FL, 321644910, US | 40 PONCE DELEON DR, PALM COAST, FL, 321644910, US | |||||||||||||||||||||||||
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| Phone | +1 386-586-5654 |
| Fax | 3865865440 |
Authorized person
| Name | MARGARET MCLARTY |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 3866794867 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 00000000 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 676845896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCLARTY LEWIS MARGARET | Treasurer | 5 WALTON PLACE, PALM COAST, FL, 32164 |
| MCLARTY LEWIS MARGARET | Chief Financial Officer | 5 WALTON PLACE, PALM COAST, FL, 32164 |
| DRUMMOND ROSEMARY | Secretary | 10 Pritchard Dr, PALM COAST, FL, 32164 |
| LOGUIDICE JOSEPH A | Agent | 1515 RIDGEWOOD AVENUE, HOLLY HILL, FL, 32117 |
| LEWIS LESLIE O | President | 2728 Covered Bridge Rd, Merrick, NY, 11566 |
| LEWIS LESLIE O | Chairman | 2728 Covered Bridge Rd, Merrick, NY, 11566 |
| MCLARTY OLNEY G | Vice President | 42 CROSSTIE COURT, PALM COAST, FL, 32137 |
| MCLARTY OLNEY G | Chief Executive Officer | 42 CROSSTIE COURT, PALM COAST, FL, 32137 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000023454 | PALM COAST ADULT DAYCARE | ACTIVE | 2016-03-03 | 2027-12-31 | - | 24 OLD KINGS ROAD N, PALM COAST, FL, 32137 |
| G14000062774 | SYNERGY CLEANING SERVICE | EXPIRED | 2014-06-18 | 2019-12-31 | - | 40 PONCE DELEON DRIVE, PALM COAST, FL, 32164 |
| G12000089990 | MANDEVILLE LIFE SKILLS CENTER | ACTIVE | 2012-09-13 | 2027-12-31 | - | 24 OLD KINGS RD N SUITE A, PALM COAST, FL, 32137 |
| G12000030837 | MANDEVILLE MANOR GROUP HOMES | EXPIRED | 2012-03-29 | 2017-12-31 | - | 40 PONCE DELEON DRIVE, PALM COAST, FL, 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-10-08 | LOGUIDICE, JOSEPH A | - |
| REINSTATEMENT | 2024-10-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| AMENDMENT | 2021-02-08 | - | - |
| CHANGE OF MAILING ADDRESS | 2020-01-21 | 24 Old Kings Rd N., PALM COAST, FL 32137 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-09 | 24 Old Kings Rd N., PALM COAST, FL 32137 | - |
| AMENDMENT | 2016-03-08 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-29 | 1515 RIDGEWOOD AVENUE, SUITE A, HOLLY HILL, FL 32117 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J23000407734 | ACTIVE | 22-039-D1 | LEON COUNTY | 2023-07-28 | 2028-09-06 | $29,648.58 | DFS DIVISION OF WORKERS COMPENSATION, 200 EAST GAINES STREET, TALLAHASSEE, FL 32399-4228 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| REINSTATEMENT | 2024-10-08 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-16 |
| Amendment | 2021-02-08 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-21 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-05-19 |
| ANNUAL REPORT | 2017-07-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2344377700 | 2020-05-01 | 0491 | PPP | 24 OLD KINGS RD N, PALM COAST, FL, 32137 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5587108607 | 2021-03-20 | 0491 | PPS | 24 Old Kings Rd N, Palm Coast, FL, 32137-8226 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
