| Entity Name: | HIBISCUS PALACE II ASSISTED LIVING FACILITY LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Jun 2016 (9 years ago) |
| Document Number: | L16000118127 |
| FEI/EIN Number | 81-1939893 |
| Address: | 12842 Buckland Street, Wellington, FL 33414 |
| Mail Address: | 7181 Via Leonardo, Lake Worth, FL 33467 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306384326 | 2017-02-09 | 2017-02-09 | 7181 VIA LEONARDO, LAKE WORTH, FL, 334675236, US | 12842 BUCKLAND ST, WELLINGTON, FL, 334146223, US | |||||||||||||||||||||
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| Phone | +1 561-385-2532 |
| Fax | 5619091548 |
| Phone | +1 561-557-3513 |
Authorized person
| Name | ANDREA MATTIS |
| Role | ADMINISTRATOR |
| Phone | 5613852532 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12943 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATTIS, ANDREA | Agent | 7181 VIA LEONARDO, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| MATTIS, ANDREA | Manager | 7181 Via Leonardo, Lake WOrth, FL 33467 |
| Name | Role | Address |
|---|---|---|
| MATTIS, SWINFORD | Authorized Representative | 7181 Via Leonardo, Lake Worth, FL 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-23 | 12842 Buckland Street, Wellington, FL 33414 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-23 | 12842 Buckland Street, Wellington, FL 33414 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-03-23 |
| Florida Limited Liability | 2016-06-20 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
