| Entity Name: | BALMORAL ASSISTED LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Mar 2011 (14 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L11000035412 |
| FEI/EIN Number | 352405197 |
| Mail Address: | 5801 ULMERTON ROAD, SUITE 200, CLEARWATER, FL, 33760, US |
| Address: | 93 BALMORAL WAY, LAKE PLACID, FL, 33852, US |
| ZIP code: | 33852 |
| County: | Highlands |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962760108 | 2012-04-25 | 2012-04-25 | 93 BALMORAL DR, LAKE PLACID, FL, 338527000, US | 93 BALMORAL DR, LAKE PLACID, FL, 338527000, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 863-465-6584 |
| Fax | 8634656585 |
Authorized person
| Name | MS. DOREEN O. EGAN |
| Role | CONTROLLER |
| Phone | 8634656584 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11307 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003688600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCARTHY TERENCE J | Agent | 5801 ULMERTON ROAD, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| TERENCE J. MCCARTHY, AS TRUSTEE | Managing Member | 5801 ULMERTON ROAD, SUITE 200, CLEARWATER, FL, 33760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-21 | 93 BALMORAL WAY, LAKE PLACID, FL 33852 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-24 |
| ANNUAL REPORT | 2012-03-21 |
| Florida Limited Liability | 2011-03-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
