| Entity Name: | I.P.A ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Aug 2014 (10 years ago) |
| Date of dissolution: | 22 Feb 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Feb 2024 (a year ago) |
| Document Number: | L14000128318 |
| FEI/EIN Number | 47-1729299 |
| Address: | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| Mail Address: | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| ZIP code: | 32779 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962985044 | 2018-09-13 | 2018-09-13 | 2825 WALDENS POND CV, LONGWOOD, FL, 327797037, US | 2825 WALDENS POND CV, LONGWOOD, FL, 327797037, US | |||||||||||||||||||
|
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| Phone | +1 407-756-2595 |
Authorized person
| Name | TAJ RAZA |
| Role | OWNER |
| Phone | 4077562595 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100433800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAZA AHSAN | Agent | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| RAZA TAJ | Manager | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| Name | Role | Address |
|---|---|---|
| RAZA AHSAN | Authorized Member | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| ZAIDI ALI AMAN | Authorized Member | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000037804 | TAJ'S ADULT FAMILY HOME | EXPIRED | 2016-04-14 | 2021-12-31 | No data | 2825 WALDEN POND COVE, LONGWOOD, FL, 32779 |
| G15000053156 | ZOHRA SENIER CARE | EXPIRED | 2015-06-01 | 2020-12-31 | No data | 2825 WALDENS POND COVE, LONGWOOD, FL, 32779 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-22 | No data | No data |
| REINSTATEMENT | 2016-09-29 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2015-11-09 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-11-09 | RAZA, AHSAN | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-02-22 |
| ANNUAL REPORT | 2023-02-06 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-01-12 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-02-03 |
| ANNUAL REPORT | 2017-01-24 |
| REINSTATEMENT | 2016-09-29 |
| REINSTATEMENT | 2015-11-09 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
