| Entity Name: | ROSEWOOD MANOR OF VERO BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Feb 2003 (22 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Sep 2019 (5 years ago) |
| Document Number: | L03000004153 |
| FEI/EIN Number | 542095156 |
| Mail Address: | 1515 Indian River Blvd, VERO BEACH, FL, 32960, US |
| Address: | 3710 14TH STREET, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760007934 | 2020-06-12 | 2020-06-26 | 3710 14TH ST, VERO BEACH, FL, 329602708, US | 3710 14TH ST, VERO BEACH, FL, 329602708, US | |||||||||||||||||||||||||||
|
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| Phone | +1 772-564-0063 |
| Fax | 7725632378 |
Authorized person
| Name | SOUKY TITUS |
| Role | BUSINESS OFFICE MANAGER |
| Phone | 7725697777 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106633200 |
| State | FL |
| Issuer | MEDICAID |
| Number | 1457559841 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WRIGHT DONALD | Agent | 1515 Indian River Blvd, Vero Beach, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| Wright Donald N | Managing Member | 1515 Indian River Blvd, Vero Beach, FL, 32960 |
| Name | Role | Address |
|---|---|---|
| Wright Sandra L | Auth | 1775 44Th Ave, Vero Beach, FL, 32966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-01-27 | 3710 14TH STREET, VERO BEACH, FL 32960 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-27 | 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 | No data |
| LC AMENDMENT | 2019-09-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-09-10 | WRIGHT, DONALD | No data |
| AMENDMENT | 2004-06-09 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-01-27 |
| ANNUAL REPORT | 2020-01-16 |
| LC Amendment | 2019-09-10 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-01-31 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-02-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
