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EXCELLENCE ASSISTED LIVING FACILITY, LLC

Company Details

Entity Name: EXCELLENCE ASSISTED LIVING FACILITY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Jan 2003 (22 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 20 Sep 2021 (3 years ago)
Document Number: L03000002080
FEI/EIN Number 54-2098365
Address: 5950 LAKEHURST DRIVE, SUITE 182, ORLANDO, FL 32819
Mail Address: 5950 LAKEHURST DRIVE, SUITE 182, ORLANDO, FL 32819
ZIP code: 32819
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912451980 2016-08-08 2016-08-08 5950 LAKEHURST DR STE 182, ORLANDO, FL, 328198363, US 2250 S SEMORAN BLVD, ORLANDO, FL, 328222704, US

Contacts

Phone +1 407-930-9290
Fax 4079309380
Phone +1 407-930-9291
Fax 4079309381

Authorized person

Name MR. BRUNO PORTIGLIATTI
Role COO
Phone 4079309290

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL12850
State FL
Is Primary Yes

Agent

Name Role
INTERCONSULTING OF AMERICA CORP Agent

President

Name Role Address
Portigliatti, Anthony President 5950 Lakehurst Dr., #169 ORLANDO, FL 32819

Chief Financial Officer

Name Role Address
Valli, Enrique F Chief Financial Officer 9075 Point Cypress Dr, ORLANDO, FL 32836

Authorized Member

Name Role
SENIOR LIVING, LLC Authorized Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000078336 EXCELLENCE SENIOR LIVING AT SEMORAN ACTIVE 2021-06-11 2026-12-31 No data 5950 LAKEHURST DR. STE 182, ORLANDO, FL, 32819
G21000078344 EXCELLENCE ASSISTED LIVING FACILITY AT SEMORAN ACTIVE 2021-06-11 2026-12-31 No data 5950 LAKEHURST DR. STE 182, ORLANDO, FL, 32819
G18000053657 EXCELLENCE PREMIUM SUITES ACTIVE 2018-04-30 2029-12-31 No data 5950 LAKEHURST DR. SUITE 182, ORLANDO, FL, 32819
G16000037353 EXCELLENCE ALF ACTIVE 2016-04-12 2026-12-31 No data 5950 LAKEHURST DRIVE SUITE 182, ORLANDO, FL, 32819
G16000037354 EXCELLENCE ASSISTED LIVING FACILITY ACTIVE 2016-04-12 2026-12-31 No data 5950 LAKEHURST DRIVE, SUITE 182, ORLANDO, FL, 32819
G11000055761 UNIVERSITY CENTROPLEX EXPIRED 2011-06-08 2016-12-31 No data 5950 LAKEHURST DRIVE STE 169, ORLANDO, FL, 32819

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-04-02 Interconsulting of America Corp No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-28 5950 Lakehurst Dr., #169, ORLANDO, FL 32819 No data
LC AMENDMENT 2021-09-20 No data No data
LC AMENDMENT 2018-05-29 No data No data
CHANGE OF PRINCIPAL ADDRESS 2012-07-25 5950 LAKEHURST DRIVE, SUITE 182, ORLANDO, FL 32819 No data
CHANGE OF MAILING ADDRESS 2012-07-25 5950 LAKEHURST DRIVE, SUITE 182, ORLANDO, FL 32819 No data
LC AMENDMENT AND NAME CHANGE 2011-05-16 EXCELLENCE ASSISTED LIVING FACILITY, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-03-28
LC Amendment 2021-09-20
ANNUAL REPORT 2021-04-13
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-04-03
LC Amendment 2018-05-29
ANNUAL REPORT 2018-01-25
ANNUAL REPORT 2017-03-25

Date of last update: 30 Jan 2025

Sources: Florida Department of State