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SENIOR LIVING I, LLC

Company Details

Entity Name: SENIOR LIVING I, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 26 Jun 2013 (12 years ago)
Document Number: L13000092463
FEI/EIN Number 46-3095413
Address: 4301 Anchor Plaza Pkwy, STE 300, TAMPA, FL 33634
Mail Address: 4301 Anchor Plaza Pkwy, STE 300, TAMPA, FL 33634
ZIP code: 33634
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336576321 2013-10-04 2023-10-05 4301 ANCHOR PLAZA PKWY STE 300, TAMPA, FL, 336347521, US 7179 40TH AVE N, SAINT PETERSBURG, FL, 337094560, US

Contacts

Phone +1 813-330-2660
Fax 8448080071
Phone +1 727-490-3233

Authorized person

Name BILLIE ABREU
Role RISK MGMT & COMPLIANCE MANAGER
Phone 8133302660

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes
Taxonomy Code 311500000X - Alzheimer Center (Dementia Center)
License Number 12224
State FL
Is Primary No

Agent

Name Role Address
KOCHE, DAVID L Agent 601 BAYSHORE BLVD, SUITE 700, TAMPA, FL 33606

Chief Financial Officer

Name Role Address
HACKER, LINDSEY Chief Financial Officer 4301 Anchor Plaza Pkwy, STE 300 TAMPA, FL 33634

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000105563 INSPIRED LIVING AT IVY RIDGE ACTIVE 2013-10-25 2028-12-31 No data 4301 ANCHOR PLAZA PARKWAY, SUITE 300, TAMPA, FL, 33634
G13000077743 IVY RIDGE LIVING EXPIRED 2013-08-05 2018-12-31 No data 9119 CORPORATE LAKE DRIVE, SUITE 120, TAMPA, FL, 33634

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-03-02 4301 Anchor Plaza Pkwy, STE 300, TAMPA, FL 33634 No data
CHANGE OF MAILING ADDRESS 2023-03-02 4301 Anchor Plaza Pkwy, STE 300, TAMPA, FL 33634 No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-02-24
ANNUAL REPORT 2020-06-09
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-04-13
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-24

Date of last update: 22 Jan 2025

Sources: Florida Department of State