| Entity Name: | ASSISTED LIVING OF DUNEDIN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Jan 2006 (19 years ago) |
| Date of dissolution: | 10 May 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 10 May 2017 (8 years ago) |
| Document Number: | L06000005165 |
| FEI/EIN Number | 204109275 |
| Address: | 534 HOWELL STREET, DUNEDIN, FL, 34698 |
| Mail Address: | 534 HOWELL STREET, DUNEDIN, FL, 34698 |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184879173 | 2008-11-18 | 2015-09-16 | 534 HOWELL ST, DUNEDIN, FL, 346984925, US | 534 HOWELL ST, DUNEDIN, FL, 346984925, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-453-1970 |
| Fax | 7277364957 |
Authorized person
| Name | MARYLA B HAWEKOTTE |
| Role | ADMINISTRATOR |
| Phone | 7274531970 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL 7292 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 142950700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAWEKOTTE MARYLA | Agent | 534 HOWELL STREET, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| HAWEKOTTE MARYLA | Managing Member | 534 HOWELL STREET, DUNEDIN, FL, 34698 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000071369 | DUNEDIN ASSISTED LIVING FACILITY | EXPIRED | 2015-07-09 | 2020-12-31 | No data | 534 HOWELL STREET, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-05-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-01-25 | HAWEKOTTE, MARYLA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-25 | 534 HOWELL STREET, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-22 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-15 |
| ANNUAL REPORT | 2014-01-09 |
| ANNUAL REPORT | 2013-01-10 |
| ANNUAL REPORT | 2012-02-06 |
| ANNUAL REPORT | 2011-01-05 |
| ANNUAL REPORT | 2010-02-28 |
| ANNUAL REPORT | 2009-01-17 |
| ANNUAL REPORT | 2008-01-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
