| Entity Name: | SENIOR HEALTH-TLTC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 May 2002 (23 years ago) |
| Date of dissolution: | 26 Feb 2015 (10 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 26 Feb 2015 (10 years ago) |
| Document Number: | L02000013766 |
| FEI/EIN Number | 331017145 |
| Address: | 11722 N. 17th STREET, TAMPA, FL, 33612, US |
| Mail Address: | C/O SPECTOR GADON & ROSEN LLP, 360 CENTRAL AVENUE SUITE 1550, ST PETERSBURG, FL, 33701, US |
| ZIP code: | 33612 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386087351 | 2013-04-09 | 2013-04-09 | 11722 N 17TH ST, TAMPA, FL, 336125434, US | 11722 N 17TH ST, TAMPA, FL, 336125434, US | |||||||||||||||||||||||||
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| Phone | +1 813-971-8072 |
| Fax | 8139729664 |
Authorized person
| Name | HOWARD JAFFE |
| Role | PRESIDENT |
| Phone | 2153466454 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL5898 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 687721400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPECTOR GADON & ROSEN, LLP | Agent | 360 CENTRAL AVENUE, SUITE 1550, ST. PETERSBURG, FL, 33701 |
| Name | Role | Address |
|---|---|---|
| JAFFE HOWARD | Administrator | TWO BALA PLAZA, SUITE 300, BALA CYNWYD, PA, 19004 |
| Name | Role | Address |
|---|---|---|
| ADMINISTRATOR COMPANY THE | Manager | No data |
| DIRECTOR OF NURSING | Manager | 360 CENTRAL AVENUE, SUITE 1550, ST. PETERSBURG, FL, 33701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2015-02-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 11722 N. 17th STREET, TAMPA, FL 33612 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-08 | 11722 N. 17th STREET, TAMPA, FL 33612 | No data |
| Name | Date |
|---|---|
| Reg. Agent Resignation | 2015-03-17 |
| LC Voluntary Dissolution | 2015-02-26 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-08 |
| ANNUAL REPORT | 2012-04-17 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-01-27 |
| ANNUAL REPORT | 2009-04-24 |
| ANNUAL REPORT | 2008-05-22 |
| ANNUAL REPORT | 2007-04-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
