| Entity Name: | SPRUCE CREEK ASSISTED LIVING ,LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Oct 2016 (8 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L16000185502 |
| FEI/EIN Number | 814048818 |
| Address: | 762 COBBLESTONE WAY, ORMOND BEACH, FL, 32174, US |
| Mail Address: | 762 COBBLESTONE WAY, ORMOND BEACH, FL, 32174, US |
| ZIP code: | 32174 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285165233 | 2017-03-22 | 2017-03-22 | 5953 BROKEN BOW LN, PORT ORANGE, FL, 321277581, US | 762 COBBLESTONE WAY, ORMOND BEACH, FL, 321741026, US | |||||||||||||||||||
|
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| Phone | +1 386-872-6155 |
| Phone | +1 407-310-9405 |
Authorized person
| Name | MS. CHARLENE GREENE |
| Role | ADMINISTRATOR |
| Phone | 4073109405 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 12422 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GREENE CHARLENE | Agent | 762 COBBLESTONE WAY, ORMOND BEACH, FL, 32174 |
| Name | Role | Address |
|---|---|---|
| GREENE CHARLENE | Manager | 762 Cobblestone Way, Ormond Beach, FL, 32174 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000051283 | SPRUCE CREEK RANCH | EXPIRED | 2017-05-09 | 2022-12-31 | No data | 762 COBBLESTONE WAY, ORMOND BEACH, FL, 32174 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-21 | GREENE, CHARLENE | No data |
| REINSTATEMENT | 2020-01-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-30 | 762 COBBLESTONE WAY, ORMOND BEACH, FL 32174 | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-30 | 762 COBBLESTONE WAY, ORMOND BEACH, FL 32174 | No data |
| LC AMENDMENT | 2018-08-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-12 | 762 COBBLESTONE WAY, ORMOND BEACH, FL 32174 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2020-01-21 |
| LC Amendment | 2018-08-27 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-02-12 |
| Florida Limited Liability | 2016-10-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
