| Entity Name: | PINES OF SARASOTA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 07 Jul 1964 (61 years ago) |
| Document Number: | 707544 |
| FEI/EIN Number | 590700567 |
| Address: | 1501 NORTH ORANGE AVE., SARASOTA, FL, 34236 |
| Mail Address: | 1501 NORTH ORANGE AVE., SARASOTA, FL, 34236 |
| ZIP code: | 34236 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528052321 | 2005-09-07 | 2017-02-13 | 1501 N ORANGE AVE, SARASOTA, FL, 342362631, US | 1501 N ORANGE AVE, SARASOTA, FL, 342362631, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-365-0250 |
| Fax | 9413654121 |
Authorized person
| Name | MS. ROSEMARY L CARBONELLI |
| Role | ALF ADMINISTRATOR |
| Phone | 9413650250 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7450 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | DUNS |
| Number | 078311941 |
| Issuer | MEDICAID |
| Number | 020270300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WARD MICHAEL | Agent | 1501 NORTH ORANGE AVE., SARASOTA, FL, 34236 |
| Name | Role | Address |
|---|---|---|
| BOEDECKER JUD | Director | 1501 N ORANGE AVE, Sarasota, FL, 34236 |
| PILKINGTON JOHN | Director | 1501 N ORANGE AVE, Sarasota, FL, 34236 |
| HATHAWAY DUANE | Director | 1501 N ORANGE AVE, Sarasota, FL, 34236 |
| Doss Marla | Director | 1501 N ORANGE AVE, SARASOTA, FL, 34236 |
| Schaub John | Director | 1501 N ORANGE AVE, Sarasota, FL, 34236 |
| Harshman John | Director | 1501 N ORANGE AVE, Sarasota, FL, 34236 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT AND NAME CHANGE | 2003-11-03 | PINES OF SARASOTA, INC. | No data |
| AMENDMENT | 1998-09-04 | No data | No data |
| AMENDMENT | 1989-09-22 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
