| Entity Name: | SIMONE WILLIAMS AFCH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 Aug 2018 (6 years ago) |
| Document Number: | P18000071687 |
| FEI/EIN Number | 83-1672012 |
| Address: | 20175 HILLSBOROUGH BLVD, PORT CHARLOTTE, FL 33954 |
| Mail Address: | 20175 HILLSBOROUGH BLVD, PORT CHARLOTTE, FL 33954 |
| ZIP code: | 33954 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811634140 | 2022-05-18 | 2022-05-18 | 20175 HILLSBOROUGH BLVD, PORT CHARLOTTE, FL, 339544106, US | 20175 HILLSBOROUGH BLVD, PORT CHARLOTTE, FL, 339544106, US | |||||||||||||||||||||
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| Phone | +1 954-393-2758 |
| Fax | 9418834418 |
Authorized person
| Name | SIMONE WILLIAMS |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9543932758 |
Taxonomy
| Taxonomy Code | 311ZA0620X - Adult Care Home Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 024414500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, SIMONE | Agent | 20175 HILLSBOROUGH BLVD, PORT CHARLOTTE, FL 33954 |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, SIMONE | President | 20175 HILLSBOROUGH BLVD, PORT CHARLOTTE, FL 33954 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-05-01 |
| Domestic Profit | 2018-08-21 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
