| Entity Name: | DELAND MANOR ASSISTED LIVING CORP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 10 Feb 2016 (9 years ago) |
| Document Number: | P16000013630 |
| FEI/EIN Number | 811432275 |
| Address: | 245 S. AMELIA AVE, DELAND, FL, 32724, US |
| Mail Address: | 245 S. AMELIA AVE, DELAND, FL, 32724, US |
| ZIP code: | 32724 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790294742 | 2017-09-21 | 2022-07-21 | 245 S AMELIA AVE, DELAND, FL, 327245913, US | 245 S. AMELIA AVE, DELAND, FL, 32724, US | |||||||||||||||||||
|
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| Phone | +1 386-624-7777 |
| Fax | 3862797341 |
Authorized person
| Name | MR. DENNIS FABIAN JAVIER |
| Role | ADMINISTRATOR |
| Phone | 4074536541 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12944 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAVIER DENNIS F | Agent | 245 S. AMELIA AVE, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| JAVIER DENNIS | President | 245 S. AMELIA AVE, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| JAVIER MYRA S | Vice President | 245 S. AMELIA AVE, DELAND, FL, 32724 |
| Name | Role | Address |
|---|---|---|
| KEPLER JESUSA | SH | 245 S. AMELIA AVE, DELAND, FL, 32724 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000124652 | DELAND MANOR ASSISTED LIVING | ACTIVE | 2016-11-17 | 2026-12-31 | No data | 245 S. AMELIA AVENUE, DELAND, FL, 32724 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2017-02-09 | JAVIER, DENNIS FABIAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-09 | 245 S. AMELIA AVE, DELAND, FL 32724 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-10 |
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-19 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-02-09 |
| Domestic Profit | 2016-02-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
