| Entity Name: | AMELIA ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Sep 2014 (10 years ago) |
| Document Number: | P14000074495 |
| FEI/EIN Number | 47-1798637 |
| Address: | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569, US |
| Mail Address: | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407238504 | 2015-06-24 | 2015-06-24 | 12219 SWAYING MOSS CIR, RIVERVIEW, FL, 335694718, US | 2135 40TH AVE N, ST PETERSBURG, FL, 337144124, US | |||||||||||||||||||
|
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| Phone | +1 813-943-5380 |
| Fax | 8133544839 |
Authorized person
| Name | MRS. L RENE BIRD |
| Role | OWNER/PRESIDENT |
| Phone | 8139435380 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | 1052 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| AMERICAN SAFETY COUNCIL, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| BIRD L. RENE | President | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| BIRD L. RENE | Vice President | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| BIRD L. RENE | Secretary | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| BIRD L. RENE | Treasurer | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000091565 | AMELIA ALF RESIDENT ACCOUNT | ACTIVE | 2021-07-13 | 2026-12-31 | No data | 12219 SWAYING MOSS CIR, RIVERVIEW, FL, 33569 |
| G15000030665 | AMELIA ASSISTED LIVING FACILITY | EXPIRED | 2015-03-24 | 2020-12-31 | No data | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569 |
| G15000028533 | AMELIA ALF | ACTIVE | 2015-03-18 | 2025-12-31 | No data | 12219 SWAYING MOSS CIRCLE, RIVERVIEW, FL, 33569 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-02-18 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-08-06 |
| ANNUAL REPORT | 2018-06-06 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
