| Entity Name: | MCGILL CENTER FOR INDEPENDENT LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jul 2016 (9 years ago) |
| Document Number: | L16000140022 |
| FEI/EIN Number | 81-3352831 |
| Address: | 10113 W. Verona Circle, Vero Beach, FL, 32966, US |
| Mail Address: | 10113 W. Verona Circle, Vero Beach, FL, 32966, US |
| ZIP code: | 32966 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780118836 | 2017-04-15 | 2017-04-15 | 920 SOUTHLAKES WAY SW, VERO BEACH, FL, 329687526, US | 920 SOUTHLAKES WAY SW, VERO BEACH, FL, 329687526, US | |||||||||||||||||||||
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| Phone | +1 772-559-7349 |
Authorized person
| Name | MS. LAURA ANN MCGILL |
| Role | CEO |
| Phone | 7725597349 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018612500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCGILL LAURA A | Agent | 10113 W. Verona Circle, Vero Beach, FL, 32966 |
| Name | Role | Address |
|---|---|---|
| McGill Laura A | Authorized Member | 10113 W. Verona Circle, Vero Beach, FL, 32966 |
| McGill Chester AJR | Authorized Member | 10113 W. Verona Circle, Vero Beach, FL, 32966 |
| McGill Kristen E | Authorized Member | 10113 W. Verona Circle, Vero Beach, FL, 32966 |
| McGill Katherine F | Authorized Member | 10113 W. Verona Circle, Vero Beach, FL, 32966 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-06 | 10113 W. Verona Circle, Vero Beach, FL 32966 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-06 | 10113 W. Verona Circle, Vero Beach, FL 32966 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-06 | 10113 W. Verona Circle, Vero Beach, FL 32966 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-02-09 |
| ANNUAL REPORT | 2021-03-07 |
| ANNUAL REPORT | 2020-03-05 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-02-12 |
| ANNUAL REPORT | 2017-03-15 |
| Florida Limited Liability | 2016-07-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
