| Entity Name: | SENIOR LIVING PROPERTIES III, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 2004 (20 years ago) |
| Document Number: | L04000068515 |
| FEI/EIN Number | 201638131 |
| Address: | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| Mail Address: | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750981841 | 2020-10-28 | 2021-09-15 | 4611 JOHNSON RD UNIT 1, COCONUT CREEK, FL, 330734361, US | 3791 OLD CANOE CREEK RD, SAINT CLOUD, FL, 347696630, US | |||||||||||||||||||||||
|
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| Phone | +1 954-691-1030 |
| Fax | 9546911036 |
| Phone | +1 407-892-8502 |
Authorized person
| Name | STEPHANIE TUCKER |
| Role | BILLING SPECIALIST |
| Phone | 9546911030 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008616500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WAGNER DENNIS | Agent | 4611 JOHNSON ROAD, COCONUT CREEK, FL, 33073 |
| Name | Role |
|---|---|
| SENIOR LIVING MANAGEMENT CORP. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000121018 | INDIGO PALMS | EXPIRED | 2017-11-02 | 2022-12-31 | No data | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| G17000091103 | SAVANNAH GRAND OF MAITLAND | EXPIRED | 2017-08-17 | 2022-12-31 | No data | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| G14000009235 | SAVANNAH COURT OF LAKELAND | EXPIRED | 2014-01-27 | 2024-12-31 | No data | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| G13000069352 | SAVANNAH COURT OF BARTOW | EXPIRED | 2013-07-10 | 2018-12-31 | No data | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| G11000082264 | SAVANNAH COURT OF LAKE OCONEE | ACTIVE | 2011-08-18 | 2026-12-31 | No data | 4611 JOHNSON ROAD, SUITE #1, SUITE 1, COCONUT CREEK, FL, 33073 |
| G09000171839 | SAVANNAH COURT OF ST CLOUD | ACTIVE | 2009-11-03 | 2025-12-31 | No data | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL, 33073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-27 | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL 33073 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL 33073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-27 | 4611 JOHNSON ROAD, SUITE 1, COCONUT CREEK, FL 33073 | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-29 | WAGNER, DENNIS | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
