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 |
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 | |||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
KOCHE, DAVID L | Agent | 601 BAYSHORE BLVD, SUITE 700, TAMPA, FL 33606 |
Name | Role | Address |
---|---|---|
HACKER, LINDSEY | Chief Financial Officer | 4301 Anchor Plaza Pkwy, STE 300 TAMPA, FL 33634 |
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 |
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 |
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