| Entity Name: | TWIN ANGELS ASSISTED LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Jan 2015 (10 years ago) |
| Document Number: | P15000007578 |
| FEI/EIN Number | 47-2811544 |
| Address: | 737 8th Ave West, Palmetto, FL, 34221, US |
| Mail Address: | 12316 Ballentrae Forest Dr., Riverview, FL, 33579, US |
| ZIP code: | 34221 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518334648 | 2015-08-24 | 2015-08-24 | 323 49TH ST NW, BRADENTON, FL, 342091922, US | 323 49TH ST NW, BRADENTON, FL, 342091922, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-863-5113 |
Authorized person
| Name | MR. CLARENCE L GREEN |
| Role | ADMINISTRATOR |
| Phone | 8138635113 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MIFFIN LUELLA | Agent | 6300 17TH ST SOUTH, ST. PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| Green COURTNEY L | President | 12316 Ballentrae Forest Dr., RIVERVIEW, FL, 33579 |
| Name | Role | Address |
|---|---|---|
| Green Clarence L | Vice President | 12316 Ballentrae Forest Drive, Riverview, FL, 33579 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000128079 | TA CARE GROUP | EXPIRED | 2018-12-04 | 2023-12-31 | No data | 12316 BALLENTRAE FOREST DR, RIVERVIEW, FL, 33579 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-03 | 737 8th Ave West, 118, Palmetto, FL 34221 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-15 | 737 8th Ave West, 118, Palmetto, FL 34221 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-03 |
| AMENDED ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2022-03-06 |
| ANNUAL REPORT | 2021-02-23 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-02-15 |
| ANNUAL REPORT | 2016-02-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
