| Entity Name: | AMERICAN SENIOR LIVING OF DADE CITY, FL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Mar 2000 (25 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: | L00000003419 |
| FEI/EIN Number | 522284259 |
| Address: | 1400 CENTREPARK BLVD, SUITE810, WEST PALM BEACH, FL, 33401, US |
| Mail Address: | 1400 CENTREPARK BLVD, SUITE810, WEST PALM BEACH, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851510598 | 2007-04-24 | 2014-05-15 | 5692 STRAND CT, NAPLES, FL, 341103389, US | 14235 EDWINOLA WAY, DADE CITY, FL, 335233763, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 239-963-3400 |
| Fax | 2399633401 |
| Phone | +1 352-567-6500 |
| Fax | 3525670272 |
Authorized person
| Name | MS. DORENE M FORD |
| Role | DIRECTOR OF MIS |
| Phone | 2399633400 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7295 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140899200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 686252700 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300BKZLAV7R41ZB38 | L00000003419 | US-FL | GENERAL | ACTIVE | No data | |||||||||||||||||||
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| Legal | C/O C T Corporation System, 1200 South Pine Island Road, Plantation, US-FL, US, 33324 |
| Headquarters | 5692 Strand Court, Naples, US-FL, US, 34110 |
Registration details
| Registration Date | 2014-05-07 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2015-05-05 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L00000003419 |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| AMERICAN SENIOR LIVING, INC. | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-30 | 1400 CENTREPARK BLVD, SUITE810, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-30 | 1400 CENTREPARK BLVD, SUITE810, WEST PALM BEACH, FL 33401 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-03-30 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-20 |
| ANNUAL REPORT | 2009-04-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
