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SENIOR HOUSING MANAGEMENT PROVIDER, LLC - Florida Company Profile

Company Details

Entity Name: SENIOR HOUSING MANAGEMENT PROVIDER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SENIOR HOUSING MANAGEMENT PROVIDER, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 16 Jul 2008 (17 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 13 Dec 2018 (6 years ago)
Document Number: L08000068842
FEI/EIN Number 263012247

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL, 33309, US
Address: 534 Datura St, West Palm Beach, FL, 33401, US
ZIP code: 33401
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730311556 2009-08-12 2009-08-12 534 DATURA ST, WEST PALM BEACH, FL, 334015308, US 534 DATURA ST, WEST PALM BEACH, FL, 334015308, US

Contacts

Phone +1 561-659-9330
Fax 5616590732

Authorized person

Name RICKI KANETI
Role EXECUTIVE DIRECTOR
Phone 5616599330

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL7617
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
EISENMANN MARC Manager 3350 SW 57TH PL, FORT LAUDERDALE, FL, 33312
ITSKOVICH DAVID Agent 4901 NW 17th Way STE 303, Fort Lauderdale, FL, 33309
KANETI RICKI Manager 1645 Palm Beach Lakes Blvd, West Palm Beach, FL, 33401

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000055022 COLONIAL ASSISTED LIVING AT WPB ACTIVE 2024-04-25 2029-12-31 - 4901 NW 17TH WAY, FORT LAUDERDALE, FL, 33309
G23000086866 COLONIAL ASSISTED LIVING AT WEST PALM BEACH, FL ACTIVE 2023-07-24 2028-12-31 - 4901 NW 17TH WAY, STE 303, FORT LAUDERDALE, FL, 33309
G23000050618 COLONIAL ASSISTED LIVING AT WEST PALM BEACH ACTIVE 2023-04-21 2028-12-31 - 4901 NW 17TH WAY, SUITE 303, FT LAUDERDALE, FL, 33309
G19000024017 COLONIAL ASSISTED LIVING AT WEST PALM BEACH, FI EXPIRED 2019-02-19 2024-12-31 - 100 NE 3RD AVE, STE 620, FT LAUDERDALE, FL, 33301
G17000052341 CITY WALK ACTIVE LIVING EXPIRED 2017-05-11 2022-12-31 - 200 S ROSEMARY AVE, UNIT 2, WEST PALMBEACH, FL, 33401
G11000031931 CITY WALK ASSISTED LIVING EXPIRED 2011-03-30 2016-12-31 - SENIOR HOUSING MANAGEMENT PROVIDER, 534 DATURA ST, WEST PALM BEACH, FL, 33401
G10000039582 CITY WALK ACTIVE LIVING EXPIRED 2010-05-04 2015-12-31 - CITY WALK ACTIVE LIVING, 534 DATURA ST, WPB, FL, 33401
G09000129173 CITY PLACE ACTIVE LIVING EXPIRED 2009-06-29 2014-12-31 - 534 DATURA STREET, WEST PALM BEACH, FL, 33401
G09000114099 PALM BEACH ASSISTED LIVING FACILITY EXPIRED 2009-06-05 2014-12-31 - 534 DATURA STREET, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-04-25 4901 NW 17th Way STE 303, Suite 303, Fort Lauderdale, FL 33309 -
CHANGE OF MAILING ADDRESS 2023-04-21 534 Datura St, West Palm Beach, FL 33401 -
REGISTERED AGENT NAME CHANGED 2019-02-07 ITSKOVICH, DAVID -
LC STMNT OF RA/RO CHG 2018-12-13 - -
CHANGE OF PRINCIPAL ADDRESS 2018-04-02 534 Datura St, West Palm Beach, FL 33401 -
LC STMNT OF RA/RO CHG 2017-10-05 - -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-22
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-02-07
ANNUAL REPORT 2018-04-02
CORLCRACHG 2017-10-05
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-15

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
7719797207 2020-04-28 0455 PPP 534 DATURA ST, WEST PALM BEACH, FL, 33401-5308
Loan Status Date 2021-04-13
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 245551.4
Loan Approval Amount (current) 245551.4
Undisbursed Amount 0
Franchise Name -
Lender Location ID 4392
Servicing Lender Name Centennial Bank
Servicing Lender Address 620 Chestnut St, CONWAY, AR, 72032-5404
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Unanswered
Project Address WEST PALM BEACH, PALM BEACH, FL, 33401-5308
Project Congressional District FL-22
Number of Employees 44
NAICS code 623312
Borrower Race American Indian or Alaska Native
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 4392
Originating Lender Name Centennial Bank
Originating Lender Address CONWAY, AR
Gender Male Owned
Veteran Unanswered
Forgiveness Amount 247583.09
Forgiveness Paid Date 2021-02-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State