| Entity Name: | A DREAM LAKE MANOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 Apr 1999 (26 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P99000030491 |
| FEI/EIN Number | 593576339 |
| Address: | 1553 DANISCO PLACE, APOPKA, FL, 32703, US |
| Mail Address: | 1553 DANISCO PLACE, APOPKA, FL, 32703, US |
| ZIP code: | 32703 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528369139 | 2010-11-12 | 2010-11-12 | 750 ALABAMA AVE, APOPKA, FL, 327035424, US | 750 ALABAMA AVE, APOPKA, FL, 327035424, US | |||||||||||||||||||||||
|
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| Phone | +1 407-886-4353 |
Authorized person
| Name | MRS. HELEN YAP ROMERO |
| Role | ADMINISTRATOR |
| Phone | 4072926241 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5921 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140953100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROMERO HELEN | Agent | 909 WYMORE ROAD, WINTER PARK, FL, 327891798 |
| Name | Role | Address |
|---|---|---|
| ROMERO HELEN | Director | 1553 DANISCO PLACE, APOPKA, FL, 32703 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000019218 | APOPKA RETIREMENT CENTER | EXPIRED | 2016-02-22 | 2021-12-31 | No data | 750 S. ALABAMA AVE, APOPKA, FL, 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-12 | 1553 DANISCO PLACE, APOPKA, FL 32703 | No data |
| CHANGE OF MAILING ADDRESS | 2018-02-12 | 1553 DANISCO PLACE, APOPKA, FL 32703 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-02-11 | 909 WYMORE ROAD, WINTER PARK, FL 32789-1798 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J22000245599 | ACTIVE | 2019-CA-003633-O | ORANGE CO. CIRCUIT CIVIL | 2022-04-19 | 2027-05-23 | $479555.92 | WELLS FARGO BANK, N.A., POST OFFICE BOX 14506, DES MOINES, IOWA 50328 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-04-13 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-03-11 |
| ANNUAL REPORT | 2010-04-10 |
| ANNUAL REPORT | 2009-03-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
