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BRIDGEWATER PARK ASSISTED LIVING LLC

Company Details

Entity Name: BRIDGEWATER PARK ASSISTED LIVING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Dec 2015 (9 years ago)
Document Number: L15000209163
FEI/EIN Number 81-3005693
Address: 1800 N WABASH RD, MARION, IN 46952
Mail Address: 1800 N WABASH RD, MARION, IN 46952
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851811608 2017-06-22 2022-12-07 1800 N WABASH RD, MARION, IN, 469521300, US 9174 SW 81ST CT, OCALA, FL, 344817846, US

Contacts

Phone +1 765-664-5400
Fax 7656645403
Phone +1 352-816-0254

Authorized person

Name MR. CULLEN S GIBSON
Role COO
Phone 7656645400

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
State FL
Is Primary Yes

Agent

Name Role Address
Lanham, Steve Agent 27177 Cooper Creek Court, Wesley Chapel, FL 33544

Authorized Member

Name Role Address
OTT, GARY L Authorized Member 1800 N WABASH RD, MARION, IN 46952
OTT, DWIGHT A Authorized Member 1800 N WABASH RD, MARION, IN 46952
Ott, Ryan M Authorized Member 1800 N WABASH RD, MARION, IN 46952

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2019-02-27 Lanham, Steve No data
REGISTERED AGENT ADDRESS CHANGED 2019-02-27 27177 Cooper Creek Court, Wesley Chapel, FL 33544 No data

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-03-09
Florida Limited Liability 2015-12-17

Date of last update: 20 Jan 2025

Sources: Florida Department of State