Entity Name: | ANOINTING GRACE INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 Jul 2019 (6 years ago) |
Document Number: | P19000061053 |
FEI/EIN Number | 84-2683462 |
Address: | 2575 63RD AVE S, ST. PETERSBURG, FL, 33712 |
Mail Address: | P.O. BOX 13751, ST. PETERSBURG, FL, 33733 |
ZIP code: | 33712 |
County: | Pinellas |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568114676 | 2022-01-20 | 2022-01-20 | PO BOX 13751, ST PETERSBURG, FL, 337333751, US | 2575 63RD AVE S, ST PETERSBURG, FL, 337125247, US | |||||||||||||||||||||
|
Phone | +1 727-490-9795 |
Fax | 7278641708 |
Authorized person
Name | MS. TIMEKA WALKER |
Role | CEO/OWNER |
Phone | 7275606224 |
Taxonomy
Taxonomy Code | 320900000X - Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 106103900 |
State | FL |
Name | Role | Address |
---|---|---|
WALKER TIMEKA A | Agent | 2575 63RD AVE S, ST. PETERSBURG, FL, 33712 |
Name | Role | Address |
---|---|---|
WALKER TIMEKA A | President | 2575 63RD AVE S, ST. PETERSBURG, FL, 33712 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-08 |
ANNUAL REPORT | 2023-03-04 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-02-28 |
ANNUAL REPORT | 2020-05-16 |
Domestic Profit | 2019-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State