| Entity Name: | HAMPTON ALF AT BELLEVIEW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 May 2010 (15 years ago) |
| Document Number: | L10000047874 |
| FEI/EIN Number | 272494063 |
| Address: | 10590 S.E. 62ND AVENUE ROAD, BELLEVIEW, FL, 34420 |
| Mail Address: | 1810 SE 16th Ave., Ocala, FL, 34471, US |
| ZIP code: | 34420 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841598943 | 2011-03-14 | 2011-03-14 | 10590 SE 62ND AVENUE RD, BELLEVIEW, FL, 344203004, US | 10590 SE 62ND AVENUE RD, BELLEVIEW, FL, 344203004, US | |||||||||||||||||||||||||
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| Phone | +1 352-245-6201 |
| Fax | 3522459188 |
Authorized person
| Name | PAM CUTSURIES |
| Role | VP OF OPERATIONS |
| Phone | 3528045040 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 8503 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002683200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSEN PEDER | Agent | 1810 SE 16th Ave., Ocala, FL, 34471 |
| Name | Role |
|---|---|
| CONCORDIS HOLDINGS, LLC | Manager |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2014-04-24 | 10590 S.E. 62ND AVENUE ROAD, BELLEVIEW, FL 34420 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-24 | 1810 SE 16th Ave., Ocala, FL 34471 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-04-27 | JOHNSEN, PEDER | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
