| Entity Name: | SIXMA SENIORS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 15 Dec 1997 (27 years ago) |
| Document Number: | P97000105301 |
| FEI/EIN Number | 593487515 |
| Address: | 106 Lake Avenue, Crescent City, FL, 32112, US |
| Mail Address: | 106 Lake Avenue, Crescent City, FL, 32112, US |
| ZIP code: | 32112 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174850259 | 2009-11-10 | 2009-11-10 | 2766 SIXMA RD, DELTONA, FL, 327389575, US | 2766 SIXMA RD, DELTONA, FL, 327389575, US | |||||||||||||||||||||||
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| Phone | +1 386-789-5991 |
Authorized person
| Name | DIANE V HOF |
| Role | OWNER |
| Phone | 3867895991 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 9611 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 678003200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEDGEWORTH DIANE | Agent | 2766 SIXMA ROAD, DELTONA, FL, 32738 |
| Name | Role | Address |
|---|---|---|
| WEDGEWORTH DIANE | President | 106 LAKE AVENUE, CRESCENT CITY, FL, 32112 |
| Name | Role | Address |
|---|---|---|
| WEDGEWORTH DIANE | Treasurer | 106 LAKE AVENUE, CRESCENT CITY, FL, 32112 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| NAME CHANGE AMENDMENT | 2014-04-25 | SIXMA SENIORS, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
