| Entity Name: | GOOD SHEPHERD ALF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Apr 2010 (15 years ago) |
| Date of dissolution: | 20 Jul 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 20 Jul 2023 (2 years ago) |
| Document Number: | L10000042669 |
| FEI/EIN Number | 272793867 |
| Address: | 8610 NW 24 COURT, SUNRISE, FL, 33322 |
| Mail Address: | 8610 NW 24 COURT, SUNRISE, FL, 33322 |
| ZIP code: | 33322 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871125880 | 2020-02-07 | 2020-02-07 | 8610 NW 24TH CT, SUNRISE, FL, 333223304, US | 8610 NW 24TH CT, SUNRISE, FL, 333223304, US | |||||||||||||||||||||
|
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| Phone | +1 954-742-3171 |
| Fax | 9547214509 |
Authorized person
| Name | SHEPHNIE V WHITE |
| Role | ADMINISTRATOR |
| Phone | 9542926398 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10473 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WHITE STEPHNIE | Agent | 8610 NW 24 COURT, SUNRISE, FL, 33322 |
| Name | Role | Address |
|---|---|---|
| WHITE STEPHNIE | Managing Member | 8610 NW 24 COURT, SUNRISE, FL, 33322 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-20 | No data | No data |
| LC AMENDMENT | 2011-02-11 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2011-02-11 | WHITE, STEPHNIE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-11 | 8610 NW 24 COURT, SUNRISE, FL 33322 | No data |
| CONVERSION | 2010-04-19 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS P03000093705. CONVERSION NUMBER 900000104449 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-20 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-03 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-04-25 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-03-16 |
| ANNUAL REPORT | 2014-05-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
