| Entity Name: | BVM CORAL LANDING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jul 2012 (13 years ago) |
| Document Number: | L12000098327 |
| FEI/EIN Number | 46-0942845 |
| Address: | 2820 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32086 |
| Mail Address: | 2820 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL, 32086 |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588054183 | 2015-02-03 | 2020-03-09 | 2820 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865454, US | 2820 OLD MOULTRIE RD, ST AUGUSTINE, FL, 320865454, US | |||||||||||||||||||||
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| Phone | +1 904-794-2273 |
Authorized person
| Name | SANDRA GUION |
| Role | DIRECTOR OF TREASURY MANAGEMENT |
| Phone | 3178066775 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105492100 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Koenig Suzanne c/o SAK | Cour | 300 Saunders Road, Riverwoods, IL, 60015 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-21 | 2820 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL 32086 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-21 | 2820 OLD MOULTRIE ROAD, ST. AUGUSTINE, FL 32086 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-21 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-21 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-27 |
| Reg. Agent Change | 2023-03-21 |
| ANNUAL REPORT | 2022-04-28 |
| AMENDED ANNUAL REPORT | 2021-06-29 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
