| Entity Name: | FREMONT ASSISTED LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 21 Feb 2014 (11 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L14000030037 |
| Address: | 2200 BAYVIEW RD, JACKSONVILLE, FL 32210 |
| Mail Address: | 929 PINEY BRANCH RD, EASTOVER, SC 29044 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831593383 | 2014-10-13 | 2014-10-13 | 2200 BAYVIEW RD, JACKSONVILLE, FL, 322104213, US | 2200 BAYVIEW RD, JACKSONVILLE, FL, 322104213, US | |||||||||||||||||||
|
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| Phone | +1 904-800-2653 |
| Fax | 9048002656 |
Authorized person
| Name | ANGELUS GALLO PANCHO |
| Role | MANAGER |
| Phone | 9048002653 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12549 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AMICK, CHADWICK R | Agent | 2200 BAYVIEW RD, JACKSONVILLE, FL 32210 |
| Name | Role | Address |
|---|---|---|
| AMICK, CHADWICK R | Manager | 929 PINEY BRANCH RD, EASTOVER, SC 29044 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000019329 | FREMONT ASSISTED LIVING, LLC | EXPIRED | 2014-02-24 | 2019-12-31 | No data | 929 PINEY BRANCH RD, EASTOVER, SC, 29044 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2014-02-21 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
