| Entity Name: | GRACE & FAVOR GROUP HOME, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Apr 2015 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 31 Jan 2020 (5 years ago) |
| Document Number: | P15000032358 |
| FEI/EIN Number | 47-3414716 |
| Address: | 4440 SW Archer Rd, GAINESVILLE, FL, 32608, US |
| Mail Address: | P.O. Box 141202, GAINESVILLE, FL, 32614, US |
| ZIP code: | 32608 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992167894 | 2016-03-22 | 2022-03-03 | PO BOX 141202, GAINESVILLE, FL, 326141202, US | 6519 NW 25TH TER, GAINESVILLE, FL, 326531581, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 352-256-8182 |
Authorized person
| Name | SHRONDA ALLEN |
| Role | DIRECTOR |
| Phone | 3522568182 |
Taxonomy
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | Yes |
| Taxonomy Code | 372600000X - Adult Companion |
| Is Primary | No |
| Taxonomy Code | 376J00000X - Homemaker |
| License Number | 233993 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 376K00000X - Nurse's Aide |
| License Number | 212625 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 016312100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1992167894 |
| State | FL |
| Name | Role |
|---|---|
| GRACE & FAVOR GROUP HOME, INC | Agent |
| Name | Role | Address |
|---|---|---|
| ALLEN SHRONDA Y | President | 6519 NW 25TH TER, GAINESVILLE, FL, 32653 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000096907 | GRACE & FAVOR HOMEMAKING AND COMPANION SERVICES | ACTIVE | 2023-08-18 | 2028-12-31 | No data | PO BOX 141202, GAINESVILLE, FL, 32614 |
| G22000146013 | GRACE & FAVOR HOME CARE | ACTIVE | 2022-11-28 | 2027-12-31 | No data | P.O. BOX 141202, GAINESVILLE, FL, 32614 |
| G22000001529 | ROBINSON'S LABORATORIES | ACTIVE | 2022-01-05 | 2027-12-31 | No data | P.O. BOX 141202, GAINESVILLE, FL, 32614 |
| G22000010084 | GATES TRANSPORTATION | ACTIVE | 2022-01-05 | 2027-12-31 | No data | P.O. BOX 141202, GAINESVILLE, FL, 32614 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 4440 SW Archer Rd, 204, GAINESVILLE, FL 32608 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 4440 SW Archer Rd, 204, GAINESVILLE, FL 32608 | No data |
| REINSTATEMENT | 2020-01-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-31 | Grace & Favor Group Home Inc | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-26 | 4440 SW Archer Rd, 204, GAINESVILLE, FL 32608 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-30 |
| REINSTATEMENT | 2020-01-31 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-30 |
| Domestic Profit | 2015-04-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
