| Entity Name: | FLORIDA CARE ASSISTED LIVING INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Dec 2014 (10 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 03 Aug 2015 (10 years ago) |
| Document Number: | P14000101344 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 701 W 9 STREET, RIVIERA BEACH, FL, 33404 |
| Mail Address: | 701 W 9 STREET, RIVIERA BEACH, FL, 33404 |
| ZIP code: | 33404 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053704965 | 2015-03-17 | 2015-03-17 | 701 W 9TH ST, RIVIERA BEACH, FL, 334047342, US | 701 W 9TH ST, RIVIERA BEACH, FL, 334047342, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-863-0866 |
| Fax | 5618630866 |
Authorized person
| Name | MRS. COLLETTE BURGESS |
| Role | OWNER |
| Phone | 7543678049 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5594 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Hassan Mostafa | Agent | 701 W 9 STREET, RIVIERA BEACH, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| Hassan Monwara | President | 2721 SE North Lookout Blvd, Port St Lucie, FL, 34984 |
| Name | Role | Address |
|---|---|---|
| Arif Saadat Y | Vice President | 701 W 9 Street, Riviera Beach, FL, 33404 |
| Name | Role | Address |
|---|---|---|
| Mondelli Joseph V | Member | 5944 Coral Ridge Drive, Coral Springs, FL, 33076 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000025916 | VICTORIA GARDENS ALF | ACTIVE | 2020-02-27 | 2025-12-31 | No data | 701 W 9TH ST, RIVIERA BEACH, FL, 33404 |
| G14000128840 | VICTORIA GARDENS ALF | EXPIRED | 2014-12-22 | 2019-12-31 | No data | 701 W 9 STREET, RIVIERA BEACH, FL, 33404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-18 | Hassan, Mostafa | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-06 | 701 W 9 STREET, RIVIERA BEACH, FL 33404 | No data |
| AMENDMENT | 2015-08-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-04-27 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-12 |
| ANNUAL REPORT | 2016-04-28 |
| Amendment | 2015-08-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
