| Entity Name: | SONATA BOYNTON BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Sep 2016 (8 years ago) |
| Document Number: | L16000182184 |
| FEI/EIN Number | 32-0507718 |
| Address: | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 |
| Mail Address: | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396261798 | 2017-08-17 | 2022-07-21 | 2400 S CONGRESS AVE, BOYNTON BEACH, FL, 334267439, US | 2400 S CONGRESS AVE, BOYNTON BEACH, FL, 33426, US | |||||||||||||||||||||||
|
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| Phone | +1 561-733-8444 |
Authorized person
| Name | MELICIA BARTLEY |
| Role | BUSINESS OFFICE DIRECTOR |
| Phone | 5617338444 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9745 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 019408300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Halko, Brian | Agent | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 |
| Name | Role | Address |
|---|---|---|
| Mills, David J | President | 824 US Highway 1, Suite 360 North Palm Beach, FL 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | Halko, Brian | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-18 |
| Florida Limited Liability | 2016-09-29 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
