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INTEGRITY - CRESCENT PARK VILLAGE LLC - Florida Company Profile

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Company Details

Entity Name: INTEGRITY - CRESCENT PARK VILLAGE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Jan 2016 (10 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 28 Feb 2018 (7 years ago)
Document Number: L16000009206
FEI/EIN Number 30-0931315
Mail Address: 4900 Koger Blvd, Suite 150, Greensboro, NC, 27407, US
Address: 1515 Indian River Blvd, Suite A245, Vero Beach, FL, 32960, US
ZIP code: 32960
City: Vero Beach
County: Indian River
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
Short Jonathan S Chief Information Officer 4900 Koger Blvd, Greensboro, NC, 27407
Leonard Frederic H Chief Executive Officer 4900 Koger Blvd, Greensboro, NC, 27407
Wright Don Chairman 1515 Indian River Blvd, Suite A245, Vero Beach, FL, 32960
INTEGRITY SENIOR PROPERTIES INVESTMENT LLC Authorized Member 4900 Koger Blvd, Greensboro, NC, 27407

National Provider Identifier

NPI Number:
1396264263
Certification Date:
2021-11-18
Link:
View on NPI website

Authorized Person:

Name:
JONATHAN SWAIN SHORT
Role:
CIO
Phone:
3364381383

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Phone:
+1 336-438-1376
Fax:
3364381387
Phone:
+1 850-683-3997

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000061188 CRESCENT PARK VILLAGE ACTIVE 2016-06-21 2026-12-31 - 551 REDSTONE AVE WEST, CRESTVIEW, FL, 32536

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-02-02 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 -
CHANGE OF MAILING ADDRESS 2022-02-02 1515 Indian River Blvd, Suite A245, Vero Beach, FL 32960 -
REGISTERED AGENT NAME CHANGED 2021-02-19 C T CORPORATION SYSTEM -
LC STMNT OF RA/RO CHG 2018-02-28 - -
REGISTERED AGENT ADDRESS CHANGED 2018-02-28 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 -

Documents

Name Date
ANNUAL REPORT 2025-02-03
ANNUAL REPORT 2024-02-21
ANNUAL REPORT 2023-02-23
ANNUAL REPORT 2022-02-02
AMENDED ANNUAL REPORT 2021-02-19
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-25
ANNUAL REPORT 2019-01-14
CORLCRACHG 2018-02-28
ANNUAL REPORT 2018-01-09

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-04-19
Type:
FollowUp
Address:
551 W REDSTONE AVE, CRESTVIEW, FL, 32536
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2021-10-21
Type:
Planned
Address:
551 W REDSTONE AVE, CRESTVIEW, FL, 32536
Safety Health:
Health
Scope:
Partial

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4900 Koger Blvd, Suite 150, Greensboro, NC, 27407, US

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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