| Entity Name: | AFFECTIONATE CARE FOR LIFE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 13 Sep 2013 (11 years ago) |
| Date of dissolution: | 27 Jul 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Jul 2020 (5 years ago) |
| Document Number: | P13000075849 |
| FEI/EIN Number | 46-4657840 |
| Address: | 2313 Z TERRACE, RIVIERA BEACH, FL, 33404, US |
| Mail Address: | 2313 Z TERRACE, RIVIERA BEACH, FL, 33404, US |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770983462 | 2014-08-29 | 2014-08-29 | 2313 Z TERRANCE, WEST PALM, FL, 33404, US | 2313 Z TER, RIVIERA BEACH, FL, 334041803, US | |||||||||||||||||||||||||||||||
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| Phone | +1 561-863-9517 |
| Fax | 5614443059 |
Authorized person
| Name | MRS. MARGARET ELIZBETH DAVIS |
| Role | OWNER |
| Phone | 5618639517 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| License Number | 6906680 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ADULT FAMILY CARE HOME |
| Number | 6906680 |
| State | FL |
| Issuer | ADULT FAMILY CARE HOME |
| Number | 46465780 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DAVIS MARGARET E | Agent | 2313 Z TERRACE, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| DAVIS MARGARET E | President | 2313 Z TERRACE, RIVIERA BEACH, FL, 33404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2017-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2016-11-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| AMENDMENT | 2016-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-11-12 | 2313 Z TERRACE, RIVIERA BEACH, FL 33404 | No data |
| CHANGE OF MAILING ADDRESS | 2014-11-12 | 2313 Z TERRACE, RIVIERA BEACH, FL 33404 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-11-12 | DAVIS, MARGARET E | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-07-27 |
| REINSTATEMENT | 2017-10-09 |
| REINSTATEMENT | 2016-11-04 |
| Amendment | 2016-09-22 |
| ANNUAL REPORT | 2015-04-30 |
| AMENDED ANNUAL REPORT | 2014-11-12 |
| ANNUAL REPORT | 2014-02-20 |
| Domestic Profit | 2013-09-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
