| Entity Name: | HAMPTON'S LUXURY VILLAS INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Feb 2011 (14 years ago) |
| Document Number: | P11000017365 |
| FEI/EIN Number | 383832871 |
| Address: | 10695 HAMPTON ROAD, JACKSONVILLE, FL, 32257, US |
| Mail Address: | 10695 HAMPTON ROAD, JACKSONVILLE, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275891178 | 2012-04-27 | 2012-04-27 | 10695 HAMPTON RD, JACKSONVILLE, FL, 322576905, US | 10695 HAMPTON RD, JACKSONVILLE, FL, 322576905, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 904-232-8575 |
| Fax | 9043283850 |
Authorized person
| Name | MR. HENNIE CARIAS WITHERUP |
| Role | PRESIDENT/CEO |
| Phone | 9045363091 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| License Number | AL#12086 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| License Number | AL#12086 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004569900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WITHERUP HENNIE C | Agent | 1631 CROOKED OAK DRIVE, ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| WITHERUP HENNIE C | President | 1631 CROOKED OAK DRIVE, ORANGE PARK, FL, 32065 |
| Name | Role | Address |
|---|---|---|
| Witherup Felicia | Vice President | 1631 Crooked Oak Drive, Orange Park, FL, 32065 |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001352153 | TERMINATED | 1000000522570 | DUVAL | 2013-08-26 | 2023-09-05 | $ 413.27 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
