| Entity Name: | KIVA AT CANTERBURY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
KIVA AT CANTERBURY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Nov 2007 (17 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2015 (10 years ago) |
| Document Number: | L07000113220 |
| FEI/EIN Number |
261965309
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10 7TH ST, BONITA SPRINGS, FL, 34134, US |
| Mail Address: | 4717 STUART GLEN DRIVE, NASHVILLE, TN, 37215, US |
| ZIP code: | 34134 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164775953 | 2012-10-18 | 2012-10-18 | 10 7TH ST, BONITA SPRINGS, FL, 341347415, US | 10 7TH ST, BONITA SPRINGS, FL, 341347415, US | |||||||||||||||||||||||
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| Phone | +1 239-992-8599 |
Authorized person
| Name | THOMAS SCARBOROUGH |
| Role | OWNER |
| Phone | 6153975271 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7622 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID WAIVER |
| Number | 693447100 |
| State | FL |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 54930076ZPVPEVUZNR52 | L07000113220 | US-FL | GENERAL | ACTIVE | - | |||||||||||||||||||
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| Legal | C/O Scarborough, Thomas D, 10 7th Street, Bonita Springs, US-FL, US, 34134 |
| Headquarters | 10 7th Street, Bonita Springs, US-FL, US, 34134 |
Registration details
| Registration Date | 2016-06-16 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2017-06-14 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L07000113220 |
| Name | Role | Address |
|---|---|---|
| SCARBOROUGH THOMAS D | Managing Member | 10 7TH ST, BONITA SPRINGS, FL, 34134 |
| SCARBOROUGH VIRPI M | Manager | 4717 STUART GLEN DR, NASHVILLE, TN, 37215 |
| Digman Cindy | Admi | 10 7TH ST, BONITA SPRINGS, FL, 34134 |
| SCARBOROUGH THOMAS D | Agent | 10 7TH ST, BONITA SPRINGS, FL, 34134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08094700096 | CANTERBURY HOUSE | EXPIRED | 2008-04-03 | 2013-12-31 | - | 10 SEVENTH STREET, BONITA SPRINGS, FL, 34134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2015-09-28 | - | - |
| REGISTERED AGENT NAME CHANGED | 2015-09-28 | SCARBOROUGH, THOMAS D | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-04 | 10 7TH ST, BONITA SPRINGS, FL 34134 | - |
| LC AMENDMENT | 2010-10-12 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-01-29 | 10 7TH ST, BONITA SPRINGS, FL 34134 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-02-21 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-02-16 |
| ANNUAL REPORT | 2016-03-29 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5887818305 | 2021-01-26 | 0455 | PPS | 10 7th St, Bonita Springs, FL, 34134-7415 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4155687209 | 2020-04-27 | 0455 | PPP | 10 7TH ST, BONITA SPRINGS, FL, 34134-7415 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
