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GOOD SHEPHERD ASSISTED LIVING FACILITY OF BRANDON, LLC

Company Details

Entity Name: GOOD SHEPHERD ASSISTED LIVING FACILITY OF BRANDON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 23 Jul 2010 (15 years ago)
Document Number: L10000077786
FEI/EIN Number 273356149
Mail Address: 1611 BRILLIANT CUT WAY, VALRICO, FL, 33594
Address: 1801 LIDO DRIVE, BRANDON, FL, 33511
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013274091 2012-04-16 2012-04-16 1801 LIDO DRIVE, BRANDON, FL, 33511, US 1801 LIDO DRIVE, BRANDON, FL, 33511, US

Contacts

Phone +1 813-684-4989
Fax 8136844989

Authorized person

Name MRS. THELMA LLANTO MANAGAD
Role ADMINISTRATOR
Phone 8134942326

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL9000
State FL
Is Primary Yes

Agent

Name Role Address
Curran Porto KEsq. Agent 410 S. Ware Blvd.,suite 404, Tampa, FL, 33619

Managing Member

Name Role Address
MANAGAD THELMA Managing Member 1611 BRILLIANT CUT WAY, VALRICO, FL, 33594

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-04-30 Curran , Porto K, Esq. No data
REGISTERED AGENT ADDRESS CHANGED 2015-04-30 410 S. Ware Blvd.,suite 404, Tampa, FL 33619 No data
CHANGE OF PRINCIPAL ADDRESS 2011-07-27 1801 LIDO DRIVE, BRANDON, FL 33511 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-03-28
ANNUAL REPORT 2021-04-16
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-30
ANNUAL REPORT 2015-04-30

Date of last update: 02 Feb 2025

Sources: Florida Department of State