| Entity Name: | GOLDEN CARRIAGE RETIREMENT HOME I INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 11 Dec 2019 (5 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | P19000093508 |
| FEI/EIN Number | 84-3939830 |
| Address: | 926 MELLER WAY, ORLANDO, FL 32825 |
| Mail Address: | 926 MELLER WAY, ORLANDO, FL 32825 |
| ZIP code: | 32825 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396379731 | 2020-02-25 | 2020-02-25 | 926 MELLER WAY, ORLANDO, FL, 328253801, US | 926 MELLER WAY, ORLANDO, FL, 328253801, US | |||||||||||||||||||
|
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| Phone | +1 954-662-4081 |
Authorized person
| Name | NATASHA SHAW |
| Role | OWNER |
| Phone | 9546624081 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | GOLDENCARRIAGESHAW |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHAW, NATASHA | Agent | 2462 Weatherford Drive, Deltona, FL 32738 |
| Name | Role | Address |
|---|---|---|
| SHAW, NATASHA | President | 926 MELLER WAY, ORLANDO, FL 32825 |
| Name | Role | Address |
|---|---|---|
| SHAW, ANDREW | Vice President | 926 MELLER WAY, ORLANDO, FL 32825 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| AMENDMENT | 2020-10-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-07 | SHAW, NATASHA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-07 | 2462 Weatherford Drive, Deltona, FL 32738 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-04-02 |
| Amendment | 2020-10-08 |
| ANNUAL REPORT | 2020-06-07 |
| Domestic Profit | 2019-12-11 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
