| Entity Name: | GV LARGO, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Jun 2011 (14 years ago) |
| Document Number: | P11000052958 |
| FEI/EIN Number | 45-2449424 |
| Address: | 13770-58TH STREET NORTH, STE.#312, CLEARWATER, FL 33760 |
| Mail Address: | 13770-58TH STREET NORTH, STE.#312, CLEARWATER, FL 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639412083 | 2013-04-04 | 2013-04-04 | 13770 58TH ST N, SUITE 312, CLEARWATER, FL, 337603759, US | 750 STARKEY RD, LARGO, FL, 337712365, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-726-3980 |
| Fax | 7277265345 |
| Phone | +1 727-586-0108 |
| Fax | 7275866378 |
Authorized person
| Name | MR. DENNIS FORTE |
| Role | MANAGER |
| Phone | 7277263980 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7301 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | AL7301 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004211100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BARNES, TIMOTHY R | Agent | 13770-58TH STREET NORTH, STE.#312, CLEARWATER, FL 33760 |
| Name | Role | Address |
|---|---|---|
| FORTE, DENNIS | Director | 903 EAST SHORE DRIVE, BRIGANTINE, NJ 08203 |
| Name | Role | Address |
|---|---|---|
| FORTE, DENNIS | President | 903 EAST SHORE DRIVE, BRIGANTINE, NJ 08203 |
| Name | Role | Address |
|---|---|---|
| FORTE, DENNIS | Secretary | 903 EAST SHORE DRIVE, BRIGANTINE, NJ 08203 |
| Name | Role | Address |
|---|---|---|
| MOSCHNER, JOHN | ASSISTANT SECRETARY | 13770 58th Street North, Suite 312 Clearwater, FL 33760 |
| Name | Role | Address |
|---|---|---|
| MOSCHNER, JOHN | Vice President | 13770 58th Street North, Suite 312 Clearwater, FL 33760 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G11000097635 | GRAND VILLA OF LARGO | ACTIVE | 2011-10-04 | 2026-12-31 | No data | 13770 58TH STREET N, SUITE 312, CLEARWATER, FL, 33760 |
| 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 | 2019-04-30 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-29 |
| AMENDED ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2016-04-29 |
Date of last update: 24 Jan 2025
Sources: Florida Department of State
