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GRACE ASSISTED LIVING, LLC - Florida Company Profile

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Company Details

Entity Name: GRACE ASSISTED LIVING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Oct 2015 (10 years ago)
Document Number: L15000181568
FEI/EIN Number 47-5452857
Address: 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL, 33954
Mail Address: 16658 San Edmundo Rd, Punta Gorda, FL, 33955, US
ZIP code: 33954
City: Port Charlotte
County: Charlotte
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
COOPER GRACE H Manager 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL, 33954
COOPER GRACE H Agent 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL, 33954

National Provider Identifier

NPI Number:
1194177097

Authorized Person:

Name:
MS. GRACE H COOPER
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary:
No
Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fax:
9416214975

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2019-03-11 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954 -
REGISTERED AGENT ADDRESS CHANGED 2019-03-11 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954 -

Documents

Name Date
ANNUAL REPORT 2024-03-02
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-01-21
ANNUAL REPORT 2021-01-31
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-04-06
Florida Limited Liability 2015-10-26

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Date of last update: 03 Aug 2025

Sources: Florida Department of State