| Entity Name: | SHADY PALMS RETIREMENT HOMES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 04 May 1987 (38 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 Oct 2008 (16 years ago) |
| Document Number: | J71588 |
| FEI/EIN Number | 59-2828154 |
| Address: | 14527 NORTH FLORIDA AVENUE, TAMPA, FL 33613 |
| Mail Address: | 14527 NORTH FLORIDA AVENUE, TAMPA, FL 33613 |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366601759 | 2008-06-02 | 2008-06-02 | 14527 N FLORIDA AVE, TAMPA, FL, 336132134, US | 14527 N FLORIDA AVE, TAMPA, FL, 336132134, US | |||||||||||||||||||
|
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| Phone | +1 813-961-3072 |
| Fax | 8139684713 |
Authorized person
| Name | MR. ROBERT SCOTT BENNETT |
| Role | ADMINISTRATOR |
| Phone | 8139613072 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 6694 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENNETT, ROBERT S | Agent | 14527 N. FLORIDA AVE., TAMPA, FL 33613 |
| Name | Role | Address |
|---|---|---|
| BENNETT, ROBERT S | President | 14527 N. FLORIDA AVE., TAMPA, FL 33613 |
| Martin, Robert I | President | 14527 N Florida Avenue, Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Martin, Robert I | Vice President | 14527 N Florida Avenue, Tampa, FL 33613 |
| Name | Role | Address |
|---|---|---|
| Brojek, AnnMarie S | Chief Operating Officer | 15301 Lazy Lake Pl., Tampa, Fl. 33624-2130, FL 33624 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000025841 | ANGELS SENIOR LIVING AT NORTH TAMPA | ACTIVE | 2016-03-10 | 2026-12-31 | No data | 14527 N FLORIDA AVENUE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-02-06 | BENNETT, ROBERT S | No data |
| AMENDMENT | 2008-10-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1989-08-14 | 14527 NORTH FLORIDA AVENUE, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 1989-08-14 | 14527 NORTH FLORIDA AVENUE, TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1989-08-14 | 14527 N. FLORIDA AVE., TAMPA, FL 33613 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-20 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-08 |
| AMENDED ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-04-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-20 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-10 |
Date of last update: 04 Feb 2025
Sources: Florida Department of State
