| Entity Name: | BEACON BY THE BAY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 22 Nov 2010 (14 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L10000120874 |
| FEI/EIN Number | 274013566 |
| Address: | 141 KAELYN LANE, PORT ST JOE, FL, 32456, US |
| Mail Address: | PO BOX 110363, BRADENTON, FL, 34211, US |
| ZIP code: | 32456 |
| County: | Gulf |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487941399 | 2011-06-30 | 2011-06-30 | 141 KAELYN LN, PORT ST JOE, FL, 324566180, US | 141 KAELYN LN, PORT ST JOE, FL, 324566180, US | |||||||||||||||||||||||||
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| Phone | +1 850-647-4000 |
| Fax | 8506474004 |
Authorized person
| Name | LIZA ROJAS |
| Role | MANAGER |
| Phone | 8506474000 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10713 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000451700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROJAS LIZAIDA | Agent | 15306 SKIP JACK LOOP, BRADENTON, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| ANDERSON LYNN M | Manager | PO BOX 110363, BRADENTON, FL, 34211 |
| ROJAS LIZA | Manager | PO BOX 110363, BRADENTON, FL, 34211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-27 |
| EIN | 2011-02-23 |
| Florida Limited Liability | 2010-11-22 |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
