| Entity Name: | ENDURING LIFE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 26 May 2015 (10 years ago) |
| Date of dissolution: | 07 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 07 Mar 2022 (3 years ago) |
| Document Number: | L15000091969 |
| FEI/EIN Number | 47-4035575 |
| Address: | 10764 70TH AVE, SEMINOLE, FL, 33772, US |
| Mail Address: | 3806 Florham Place, Asheville, NC, 28806, US |
| ZIP code: | 33772 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568979466 | 2018-01-02 | 2018-01-02 | 11972 ORANGE BLOSSOM DR, SEMINOLE, FL, 337723443, US | 11972 ORANGE BLOSSOM DR, SEMINOLE, FL, 337723443, US | |||||||||||||||||||||||
|
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| Phone | +1 727-385-8046 |
Authorized person
| Name | SUSANNE M CUBBERLEY |
| Role | OWNER |
| Phone | 7273858046 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL13060 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022639100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CUBBERLEY SUSANNE MMSN, RN | Agent | 3806 Florham Place, Asheville, FL, 28806 |
| Name | Role | Address |
|---|---|---|
| CUBBERLEY SUSANNE M | Chief Executive Officer | 3806 Florham Place, Asheville, NC, 28806 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000119574 | HARMONY ONE ALF | EXPIRED | 2016-11-03 | 2021-12-31 | No data | 11972 ORANGE BLOSSOM DR, SEMINOLE, FL, 33772 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-07 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-29 | 10764 70TH AVE, UNIT 1104, SEMINOLE, FL 33772 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-29 | 3806 Florham Place, Asheville, FL 28806 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-29 | 10764 70TH AVE, UNIT 1104, SEMINOLE, FL 33772 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-07 |
| ANNUAL REPORT | 2021-03-29 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-02-06 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-05-12 |
| ANNUAL REPORT | 2016-04-25 |
| Florida Limited Liability | 2015-05-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
