| Entity Name: | BA-R3L, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Oct 2014 (10 years ago) |
| Date of dissolution: | 04 Dec 2024 (2 months ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 04 Dec 2024 (2 months ago) |
| Document Number: | L14000167387 |
| FEI/EIN Number | 47-3492186 |
| Address: | 9720 94th Street N, Seminole, FL, 33777-2115, US |
| Mail Address: | 9720 94th Street N, Seminole, FL, 33777-2115, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821625302 | 2020-03-25 | 2020-03-25 | 7771 43RD ST N, PINELLAS PARK, FL, 337813621, US | 7771 43RD ST N, PINELLAS PARK, FL, 337813621, US | |||||||||||||||||||||
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| Phone | +1 727-954-7085 |
| Fax | 7272014706 |
Authorized person
| Name | MR. RUDY BAUTISTA |
| Role | OWNER |
| Phone | 7276472209 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015110400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BAUTISTA RUDY D | Agent | 9720 94TH STREET-N, SEMINOLE, FL, 337772115 |
| Name | Role | Address |
|---|---|---|
| BAUTISTA RUDY D | Manager | 9720 94th Street N, Seminole, FL, 337772115 |
| BAUTISTA FELUCITA F | Manager | 9720 94TH STREET-N, SEMINOLE, FL, 33777 |
| Name | Role | Address |
|---|---|---|
| Bautista Rodney L | Auth | 9720 94th Street N, Seminole, FL, 337772115 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-04 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-08 | 9720 94th Street N, Seminole, FL 33777-2115 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-08 | 9720 94th Street N, Seminole, FL 33777-2115 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 9720 94TH STREET-N, SEMINOLE, FL 33777-2115 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-12-04 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-02-07 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-01-21 |
| ANNUAL REPORT | 2016-03-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
