| Entity Name: | GRACE MANOR SUITES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
GRACE MANOR SUITES, 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: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 21 Feb 2011 (14 years ago) |
| Document Number: | L11000022075 |
| FEI/EIN Number |
27-5079282
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 505 Ariana Ave., Auburndale, FL, 33823, US |
| Mail Address: | 505 Ariana Ave., Auburndale, FL, 33823, US |
| ZIP code: | 33823 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750700860 | 2014-04-16 | 2023-04-24 | PO BOX 2480, LAKELAND, FL, 338062480, US | 4620 N SOCRUM LOOP ROAD, LAKELAND, FL, 33809, US | |||||||||||||||||||||||||||||
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| Phone | +1 863-937-9114 |
| Fax | 8635105952 |
| Phone | +1 863-577-0977 |
| Fax | 8635770984 |
Authorized person
| Name | MS. SAVITRI JOHNSON |
| Role | ADMINISTRATIVE ASSISTANT |
| Phone | 8632260358 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11995 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 112829400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GARRARD LOUIS F | Manager | 505 Ariana Ave., Auburndale, FL, 33823 |
| GRAY JR DWAYNE NEsq. | Agent | 315 E ROBINSON STREET, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-16 | GRAY JR, DWAYNE N, Esq. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2022-02-16 | 315 E ROBINSON STREET, SUITE 600, ORLANDO, FL 32801 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-14 | 505 Ariana Ave., Auburndale, FL 33823 | - |
| CHANGE OF MAILING ADDRESS | 2019-03-14 | 505 Ariana Ave., Auburndale, FL 33823 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-03-01 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-03-14 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-10 |
| ANNUAL REPORT | 2015-02-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4831787407 | 2020-05-11 | 0455 | PPP | 505 Ariana Avenue, Auburndale, FL, 33823 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
