| Entity Name: | PATH OF LIFE ASSISTED LIVING OF PALM BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Dec 2011 (13 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L11000136688 |
| FEI/EIN Number | 320360849 |
| Address: | 87 W Rubber Tree Drive, Lake worth, FL, 33467, US |
| Mail Address: | 87 W Rubber Tree Drive, Lake worth, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982946042 | 2013-03-26 | 2013-03-26 | 5800 GUN CLUB RD, WEST PALM BEACH, FL, 334152508, US | 5800 GUN CLUB RD, WEST PALM BEACH, FL, 334152508, US | |||||||||||||||||
|
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| Phone | +1 561-855-6143 |
Authorized person
| Name | JESSICA HERNANDEZ |
| Role | ADMINISTRATOR |
| Phone | 3052822620 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12319 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JESSICA | Agent | 87 W Rubber Tree Drive, Lake worth, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| HERNANDEZ JESSICA | Managing Member | 87 W Rubber Tree Drive, Lake worth, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-30 | 87 W Rubber Tree Drive, Lake worth, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-30 | 87 W Rubber Tree Drive, Lake worth, FL 33467 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-01-30 | 87 W Rubber Tree Drive, Lake worth, FL 33467 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-31 | HERNANDEZ, JESSICA | No data |
| REINSTATEMENT | 2016-10-31 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-21 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-01-28 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-02-06 |
| REINSTATEMENT | 2016-10-31 |
| ANNUAL REPORT | 2015-03-28 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-04-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
