| Entity Name: | GRACE ASSISTED LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Oct 2015 (9 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 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194177097 | 2016-07-05 | 2016-07-05 | 16658 SAN EDMUNDO RD, PUNTA GORDA, FL, 339554040, US | 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL, 339543352, US | |||||||||||||||||||||||||||||
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| Phone | +1 646-220-6106 |
| Fax | 9416214975 |
| Phone | +1 941-766-7178 |
Authorized person
| Name | MS. GRACE H COOPER |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9417667178 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12849 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| License Number | AL12849 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COOPER GRACE H | Agent | 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL, 33954 |
| Name | Role | Address |
|---|---|---|
| COOPER GRACE H | Manager | 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL, 33954 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-03-11 | 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-11 | 22091 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954 | No data |
| 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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
