| Entity Name: | AVANTE CARE OF LAUDERHILL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 03 Oct 2012 (12 years ago) |
| Document Number: | P12000083490 |
| FEI/EIN Number | 46-1107866 |
| Mail Address: | 5900 LAKE ELLENOR DR, SUITE 700A, ORLANDO, FL 32809 |
| Address: | 6700 WEST COMMERCIAL BLVD., LAUDERHILL, FL 33319 |
| ZIP code: | 33319 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043611742 | 2014-09-12 | 2022-03-17 | 5900 LAKE ELLENOR DR STE 700, ORLANDO, FL, 328094643, US | 6700 W COMMERCIAL BLVD, LAUDERHILL, FL, 33319, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 407-216-0101 |
| Fax | 4073182477 |
| Phone | +1 954-741-6700 |
| Fax | 9547416750 |
Authorized person
| Name | KIMBERLY L. BIEGASIEWICZ |
| Role | PRESIDENT |
| Phone | 4072160101 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11507 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112020000 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| HORNACK, JOHN C. | Secretary | 5900 LAKE ELLENOR DR, SUITE 700A ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| BIEGASIEWICZ, KIMBERLY L. | Director | 5900 LAKE ELLENOR DR, SUITE 700A ORLANDO, FL 32809 |
| Name | Role | Address |
|---|---|---|
| BIEGASIEWICZ, KIMBERLY L. | President | 5900 LAKE ELLENOR DR, SUITE 700A ORLANDO, FL 32809 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000101142 | THE LENOX ON THE LAKE | EXPIRED | 2012-10-16 | 2017-12-31 | No data | 6700 WEST COMMERCIAL BLVD., LAUDERHILL, FL, 33319 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-06-06 | 6700 WEST COMMERCIAL BLVD., LAUDERHILL, FL 33319 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-10-14 | Corporation Service Company | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-14 | 1201 Hays Street, Tallahassee, FL 32301-2525 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000815646 | LAPSED | 1000000549110 | BROWARD | 2013-10-22 | 2024-08-01 | $ 468.38 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-06-06 |
| AMENDED ANNUAL REPORT | 2019-06-16 |
| ANNUAL REPORT | 2019-04-24 |
| AMENDED ANNUAL REPORT | 2018-05-10 |
| AMENDED ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2018-01-23 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
