| Entity Name: | ASSISTED LOVELY LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Oct 2015 (9 years ago) |
| Date of dissolution: | 16 Mar 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Mar 2018 (7 years ago) |
| Document Number: | L15000183096 |
| FEI/EIN Number | 81-1232896 |
| Address: | 1702 TRIMBLE RD, MELBOURNE, FL, 32934 |
| Mail Address: | 2214 MISTY WAY LN, MELBOURNE, FL, 32934 |
| ZIP code: | 32934 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619329422 | 2016-07-05 | 2016-07-05 | 2214 MISTY WAY LN, MELBOURNE, FL, 329351455, US | 1702 TRIMBLE RD, MELBOURNE, FL, 329349034, US | |||||||||||||||||||||||
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| Phone | +1 321-984-8882 |
Authorized person
| Name | MISS RENITA BUCHANAN |
| Role | ADMINISTRATOR/OWNER |
| Phone | 3219848882 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12837 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ACHA |
| Number | AL12837 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUCHANAN RENITA | Agent | 2214 MISTY WAY LN, MELBOURNE, FL, 32934 |
| Name | Role | Address |
|---|---|---|
| BUCHANAN RENITA | Manager | 2214 MISTY WAY LN, MELBOURNE, FL, 32934 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-16 | No data | No data |
| REINSTATEMENT | 2017-01-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-10 | BUCHANAN, RENITA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2017-01-10 |
| Florida Limited Liability | 2015-10-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
