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WELLSPRING ASSISTED LIVING FACILITY, LLC. - Florida Company Profile

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Company Details

Entity Name: WELLSPRING ASSISTED LIVING FACILITY, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Oct 2005 (20 years ago)
Document Number: L05000104727
FEI/EIN Number 203683320
Mail Address: P.O. BOX 280155, TAMPA, FL, 33682-0155, US
Address: 37815 15TH AVENUE WEST, ZEPHYRHILLS, FL, 33542
ZIP code: 33542
City: Zephyrhills
County: Pasco
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JOSEPH GEETHA Manager 16205 INDIAN MOUND ROAD, TAMPA, FL, 33618
JOSEPH JOSEPH W Agent 16205 Indian Mound Road, TAMPA, FL, 33618
JOSEPH JOSEPH Manager 16205 INDIAN MOUND ROAD, TAMPA, FL, 33618

National Provider Identifier

NPI Number:
1982905097

Authorized Person:

Name:
MR. JOSEPH WILFRED JOSEPH
Role:
MGR/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
8134256925

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000091326 WELLSPRING ASSISTED LIVING ACTIVE 2024-07-31 2029-12-31 - PO BOX 280155, TAMPA, FL, 33682

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2016-03-07 16205 Indian Mound Road, TAMPA, FL 33618 -
CHANGE OF MAILING ADDRESS 2014-01-08 37815 15TH AVENUE WEST, ZEPHYRHILLS, FL 33542 -
REGISTERED AGENT NAME CHANGED 2009-01-14 JOSEPH, JOSEPH W -
CHANGE OF PRINCIPAL ADDRESS 2006-01-19 37815 15TH AVENUE WEST, ZEPHYRHILLS, FL 33542 -

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-05
ANNUAL REPORT 2021-01-09
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-02-09
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-17
ANNUAL REPORT 2016-03-07
ANNUAL REPORT 2015-01-07

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Date of last update: 03 Aug 2025

Sources: Florida Department of State