| Entity Name: | HAMPTON ALF AT WEST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
HAMPTON ALF AT WEST, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 24 Sep 2010 (15 years ago) |
| Date of dissolution: | 26 Sep 2014 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (11 years ago) |
| Document Number: | L10000099904 |
| FEI/EIN Number |
273542983
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1805 SE 16TH AVE, SUITE 102, OCALA, FL, 34471, US |
| Address: | 12980 SW HWY 484, DUNNELLON, FL, 34432, US |
| ZIP code: | 34432 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073811774 | 2011-03-03 | 2011-03-03 | 12980 SE HWY 484, DUNNELLON, FL, 34432, US | 12980 SE 484, DUNNELLON, FL, 34432, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-465-0300 |
| Fax | 3524657273 |
Authorized person
| Name | PAM CUTSURIES |
| Role | VP OF OPERATIONS |
| Phone | 3528045040 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7687 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001657800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSEN PEDER | Manager | 1805 SE 16TH AVE STE 102, OCALA, FL, 34471 |
| JOHNSEN PEDER | Agent | 1805 SE 16TH AVE, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | - | - |
| REGISTERED AGENT NAME CHANGED | 2012-04-27 | JOHNSEN, PEDER | - |
| CHANGE OF MAILING ADDRESS | 2011-04-28 | 12980 SW HWY 484, DUNNELLON, FL 34432 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-28 | 1805 SE 16TH AVE, SUITE 102, OCALA, FL 34471 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-28 |
| Florida Limited Liability | 2010-09-24 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
