Entity Name: | ALCIME ASSISTED LIVING, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 25 Mar 2015 (10 years ago) |
Date of dissolution: | 04 Aug 2021 (4 years ago) |
Last Event: | VOLUNTARY DISSOLUTION |
Event Date Filed: | 04 Aug 2021 (4 years ago) |
Document Number: | L15000053150 |
FEI/EIN Number | 47-3548147 |
Address: | 450 SW VIOLET AVE., PORT ST. LUCIE, FL, 34983 |
Mail Address: | 450 SW Violet Ave,, PORT ST LUCIE, FL, 34983, US |
ZIP code: | 34983 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124554993 | 2017-05-11 | 2017-05-11 | 450 SW VIOLET AVE, PORT ST LUCIE, FL, 349831973, US | 450 SW VIOLET AVE, PORT ST LUCIE, FL, 349831973, US | |||||||||||||||||||||||||
|
Phone | +1 603-231-9263 |
Fax | 8773108660 |
Authorized person
Name | MR. JEAN-CLAUDE ALCIME |
Role | ADMINISTRATOR |
Phone | 6032319263 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL12736 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 016038100 |
State | FL |
Name | Role | Address |
---|---|---|
ALCIME JEAN-CLAUDE | Agent | 321 NW Sheffiled Circ, PORT ST LUCIE, FL, 34983 |
Name | Role | Address |
---|---|---|
ALCIME JEAN-CLAUDE | Manager | 321 NW Sheffiled Circ, PORT ST LUCIE, FL, 34983 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
VOLUNTARY DISSOLUTION | 2021-08-04 | No data | No data |
CHANGE OF MAILING ADDRESS | 2018-03-31 | 450 SW VIOLET AVE., PORT ST. LUCIE, FL 34983 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2018-03-31 | 321 NW Sheffiled Circ, PORT ST LUCIE, FL 34983 | No data |
Name | Date |
---|---|
VOLUNTARY DISSOLUTION | 2021-08-04 |
ANNUAL REPORT | 2021-03-23 |
ANNUAL REPORT | 2020-03-17 |
ANNUAL REPORT | 2019-02-10 |
ANNUAL REPORT | 2018-03-31 |
ANNUAL REPORT | 2017-02-27 |
ANNUAL REPORT | 2016-03-07 |
Florida Limited Liability | 2015-03-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State