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BETHESDA ASSISTED LIVING, LLC

Company Details

Entity Name: BETHESDA ASSISTED LIVING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 16 Apr 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 06 Dec 2023 (a year ago)
Document Number: L15000066675
FEI/EIN Number 47-3756314
Address: 624 Barber Ave, Lake Worth, FL 33461
Mail Address: 624 Barber Ave, Lake Worth, FL 33461
ZIP code: 33461
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154901817 2021-04-08 2021-04-08 624 BARBER AVE, LAKE WORTH BEACH, FL, 334615707, US 624 BARBER AVE, LAKE WORTH BEACH, FL, 334615707, US

Contacts

Phone +1 561-860-1888

Authorized person

Name MARIE G MENGUAL
Role MGR
Phone 5618601888

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
Mengual, Marie G Agent 624 Barber Ave, Lake Worth, FL 33461

Manager

Name Role Address
MENGUAL JOSEPH, MARIE G Manager 624 BARBER AVENUE, LAKE WORTH, FL 33461

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-12-06 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2023-09-22 No data No data
REINSTATEMENT 2020-09-29 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
REGISTERED AGENT ADDRESS CHANGED 2019-08-14 624 Barber Ave, Lake Worth, FL 33461 No data
CHANGE OF PRINCIPAL ADDRESS 2019-08-14 624 Barber Ave, Lake Worth, FL 33461 No data
CHANGE OF MAILING ADDRESS 2019-08-14 624 Barber Ave, Lake Worth, FL 33461 No data
REGISTERED AGENT NAME CHANGED 2019-08-14 Mengual, Marie G No data

Documents

Name Date
ANNUAL REPORT 2024-01-11
REINSTATEMENT 2023-12-06
ANNUAL REPORT 2022-04-22
AMENDED ANNUAL REPORT 2021-09-01
ANNUAL REPORT 2021-04-08
REINSTATEMENT 2020-09-29
AMENDED ANNUAL REPORT 2019-08-14
ANNUAL REPORT 2019-02-11
ANNUAL REPORT 2018-01-04
ANNUAL REPORT 2017-01-09

Date of last update: 20 Feb 2025

Sources: Florida Department of State