| Entity Name: | PLEASANT LIVING FACILITY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 14 Oct 1998 (26 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P98000088165 |
| FEI/EIN Number | 593573758 |
| Address: | 1543 HILL STREET, JACKSONVILLE, FL, 32202 |
| Mail Address: | 1543 HILL STREET, JACKSONVILLE, FL, 32202 |
| ZIP code: | 32202 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518197912 | 2009-07-20 | 2009-07-20 | 1543 HILL ST, JACKSONVILLE, FL, 322021405, US | 1543 HILL ST, JACKSONVILLE, FL, 322021405, US | |||||||||||||||||||||||||
|
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| Phone | +1 904-353-0501 |
| Fax | 9043538621 |
Authorized person
| Name | GWENDOLYN WALTHOUR |
| Role | ADMINISTRATOR/OWNER |
| Phone | 9043530501 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9304 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 677384201 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WALTHOUR GWENDOLYN | Agent | 505 GORDON CHAPEL RD, HAWTHRONE, FL, 32640 |
| Name | Role | Address |
|---|---|---|
| WALTHOUR GWENDOLYN | Director | 505 GORDON CHAPEL RD, HAWTHRONE, FL, 32640 |
| Name | Role | Address |
|---|---|---|
| WALTHOUR GWENDOLYN | President | 505 GORDON CHAPEL RD, HAWTHRONE, FL, 32640 |
| Name | Role | Address |
|---|---|---|
| WALTHOUR GWENDOLYN | Secretary | 505 GORDON CHAPEL RD, HAWTHRONE, FL, 32640 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08326900020 | WALTHOUR HOMEMAKER AND COMPANION SERVICES | EXPIRED | 2008-11-20 | 2013-12-31 | No data | 1543 HILL STREET, JACKSONVILLE, FL, 32202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2010-05-03 | WALTHOUR, GWENDOLYN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-04-30 | 505 GORDON CHAPEL RD, HAWTHRONE, FL 32640 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-30 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-12-20 |
| ANNUAL REPORT | 2012-04-19 |
| ANNUAL REPORT | 2011-04-29 |
| ANNUAL REPORT | 2010-05-03 |
| ANNUAL REPORT | 2009-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
