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RIVERSIDE CARE CENTER, INC - Florida Company Profile

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Company Details

Entity Name: RIVERSIDE CARE CENTER, INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 21 Dec 2021 (4 years ago)
Document Number: P22000000145
FEI/EIN Number 87-4217153
Address: 402 NORTH RIVERSIDE DRIVE, NEW SMYRNA BEACH, FL, 32168
Mail Address: 12802 GROVEHURST AVE, WINTER GARDEN, FL, 34787, UN
ZIP code: 32168
City: New Smyrna Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DORVAL SANDRA V President 12802 GROVEHURST AVE, WINTER GARDEN, FL, 34787
DORVAL CALEB Agent 12802 GROVEHURST AVE, WINTER GARDEN, FL, 34787

National Provider Identifier

NPI Number:
1619741063
Certification Date:
2023-11-07

Authorized Person:

Name:
SANDRA VENORD DORVAL
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
3869573770

Form 5500 Series

Employer Identification Number (EIN):
311011518
Plan Year:
2017
Number Of Participants:
107
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
105
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
73
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
91
Sponsors Telephone Number:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000001136 TIFFANY ON THE RIVER ACTIVE 2022-01-04 2027-12-31 - 12802 GROVEHURST AVE, WINTER GARDEN, FL, 34787

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J24000758282 ACTIVE 1000001020647 VOLUSIA 2024-11-21 2034-11-27 $ 823.96 STATE OF FLORIDA, DEPARTMENT OF REVENUE, DAYTONA BEACH SERVICE CENTER, 1180 N WILLIAMSON BLVD STE 160, DAYTONA BEACH FL321148179

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-16
Domestic Profit 2021-12-21

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Date of last update: 02 Aug 2025

Sources: Florida Department of State