| Entity Name: | BOSWELL MANOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BOSWELL MANOR LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Sep 2016 (9 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 30 Sep 2016 (9 years ago) |
| Document Number: | L16000171506 |
| FEI/EIN Number |
81-3957024
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2185 HWY 173, BONIFAY, FL, 32425, US |
| Mail Address: | 2185 HWY 173, BONIFAY, FL, 32425, US |
| ZIP code: | 32425 |
| County: | Holmes |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013489962 | 2018-12-17 | 2018-12-17 | 2185 HIGHWAY 173, BONIFAY, FL, 324255705, US | 2185 HIGHWAY 173, BONIFAY, FL, 324255705, US | |||||||||||||||||||
|
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| Phone | +1 850-768-9026 |
Authorized person
| Name | MRS. LACEY BOSWELL |
| Role | OWNER/ADMINISTRATOR |
| Phone | 8507689026 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100834700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOSWELL LACEY | President | 2185 Highway 173, BONIFAY, FL, 32425 |
| BOSWELL WILLIAM | Vice President | 2185 Highway 173, BONIFAY, FL, 32425 |
| BOSWELL LACEY | Agent | 2185 Highway 173, BONIFAY, FL, 32425 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 2185 Highway 173, BONIFAY, FL 32425 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-10-30 | 2185 HWY 173, BONIFAY, FL 32425 | - |
| CHANGE OF MAILING ADDRESS | 2017-10-30 | 2185 HWY 173, BONIFAY, FL 32425 | - |
| LC AMENDMENT | 2016-09-30 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-05-13 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-26 |
| LC Amendment | 2016-09-30 |
| Florida Limited Liability | 2016-09-14 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
