| Entity Name: | ASSURED CARE ALF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Feb 2014 (11 years ago) |
| Document Number: | L14000020069 |
| FEI/EIN Number | 46-4726033 |
| Address: | 10004 Country Carriage Cir, RIVERVIEW, FL, 33569, US |
| Mail Address: | 10004 Country Carriage Cir, RIVERVIEW, FL, 33569, US |
| ZIP code: | 33569 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285136275 | 2018-03-06 | 2018-03-06 | 10004 COUNTRY CARRIAGE CIR, RIVERVIEW, FL, 335695694, US | 2006 WRANGLER DR, BRANDON, FL, 335112121, US | |||||||||||||||||||||||||
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| Phone | +1 813-239-7558 |
| Fax | 8135719909 |
Authorized person
| Name | MRS. CARMELA HILSMAN |
| Role | OWNER |
| Phone | 8132397558 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL13136 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 014144700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HILSMAN CARMELA A | Agent | 10004 COUNTRY CARRIAGE CIRCLE, RIVERVIEW, FL, 33569 |
| Name | Role | Address |
|---|---|---|
| HILSMAN CARMELA A | Managing Member | 10004 Country Carriage Cir, RIVERVIEW, FL, 33569 |
| HILSMAN JEFFREY S | Managing Member | 10004 Country Carriage Cir, RIVERVIEW, FL, 33569 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000141797 | ASSURED CARE ALF NORTH | EXPIRED | 2017-12-27 | 2022-12-31 | No data | 10004 COUNTRY CARRIAGE CIRCLE, RIVERVIEW, FL, 33569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-25 | 10004 Country Carriage Cir, RIVERVIEW, FL 33569 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-01 | 10004 Country Carriage Cir, RIVERVIEW, FL 33569 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-03-03 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-02-22 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-01 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
