| Entity Name: | GRACIOUS AGE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 2000 (24 years ago) |
| Last Event: | LC AMENDED AND RESTATED ARTICLES |
| Event Date Filed: | 17 Jan 2017 (8 years ago) |
| Document Number: | L00000011444 |
| FEI/EIN Number | 593673930 |
| Address: | 1401 S. MAGNOLIA AVENUE, SANFORD, FL, 32771, US |
| Mail Address: | 1401 S. MAGNOLIA AVENUE, SANFORD, FL, 32771, US |
| ZIP code: | 32771 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669673521 | 2007-05-29 | 2008-11-04 | 1401 S MAGNOLIA AVE, SANFORD, FL, 327713400, US | 1401 S MAGNOLIA AVE, SANFORD, FL, 327713400, US | |||||||||||||||||||||||||||||||
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| Phone | +1 407-323-9914 |
| Fax | 4073236310 |
Authorized person
| Name | MS. JOCELYN CARLOS |
| Role | ADMINISTRATOR |
| Phone | 4073239914 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10274 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 689602200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 142508100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARLOS JOCELYN | Agent | 1401 MAGNOLIA AVENUE, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| CARLOS JOCELYN | Manager | 1401 S. MAGNOLIA AVENUE, SANFORD, FL, 32771 |
| CARLOS CARVIZ | Manager | 1401 MAGNOLIA AVENUE, SANFORD, FL, 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDED AND RESTATED ARTICLES | 2017-01-17 | No data | No data |
| REINSTATEMENT | 2014-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-06-01 | 1401 S. MAGNOLIA AVENUE, SANFORD, FL 32771 | No data |
| CHANGE OF MAILING ADDRESS | 2006-06-01 | 1401 S. MAGNOLIA AVENUE, SANFORD, FL 32771 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-10-14 | 1401 MAGNOLIA AVENUE, SANFORD, FL 32771 | No data |
| REGISTERED AGENT NAME CHANGED | 2005-10-14 | CARLOS, JOCELYN | No data |
| AMENDMENT | 2005-10-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-31 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-22 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-10 |
| ANNUAL REPORT | 2018-01-29 |
| LC Amended and Restated Art | 2017-01-17 |
| ANNUAL REPORT | 2017-01-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
