| Entity Name: | SHANGRI-LA ALF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Jan 2011 (14 years ago) |
| Date of dissolution: | 01 Mar 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 01 Mar 2018 (7 years ago) |
| Document Number: | L11000004407 |
| FEI/EIN Number | 27-4535384 |
| Address: | 997 LYONS CIRCLE NW, PALM BAY, FL, 32907, US |
| Mail Address: | 997 LYONS CIRCLE NW, PALM BAY, FL, 32907, US |
| ZIP code: | 32907 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295000842 | 2012-03-15 | 2012-03-15 | 997 LYONS CIRCLE NW, PALM BAY, FL, 329075911, US | 997 LYONS CIRCLE NW, PALM BAY, FL, 329075911, US | |||||||||||||||||||||||
|
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| Phone | +1 321-914-0669 |
Authorized person
| Name | MR. ERNEST ROGER LAPOINTE |
| Role | ADMINISTRATOR |
| Phone | 3219140669 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12037 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003935300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAPOINTE ERNEST R | Agent | 142 BROYLES DR. SE, PALM BAY, FL, 32909 |
| Name | Role | Address |
|---|---|---|
| LAPOINTE ERNEST R | Manager | 142 BROYLES Dr. SE, PALM BAY, FL, 32909 |
| LAPOINTE EUCLYN A | Manager | 142 BROYLES Dr. SE, PALM BAY, FL, 32909 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000093590 | SHANGRI-LA OF WEST MELBOURNE ALF | EXPIRED | 2015-09-11 | 2020-12-31 | No data | 1511 WHITMAN DRIVE, WEST MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-01 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-04 | 142 BROYLES DR. SE, PALM BAY, FL 32909 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-01-20 | 997 LYONS CIRCLE NW, PALM BAY, FL 32907 | No data |
| CHANGE OF MAILING ADDRESS | 2012-01-20 | 997 LYONS CIRCLE NW, PALM BAY, FL 32907 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-02-21 |
| ANNUAL REPORT | 2016-03-09 |
| ANNUAL REPORT | 2015-02-05 |
| ANNUAL REPORT | 2014-02-04 |
| ANNUAL REPORT | 2013-03-29 |
| ANNUAL REPORT | 2012-01-20 |
| Florida Limited Liability | 2011-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
