| Entity Name: | ACTIVE SERENITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 27 Jan 2017 (8 years ago) |
| Document Number: | L17000021996 |
| FEI/EIN Number | 81-5334560 |
| Address: | d/b/a ACTIVE SENIOR LIVING RESIDENCE, 9057 NW 57TH ST, TAMARAC, FL 33351 |
| Mail Address: | d/b/a ACTIVE SENIOR LIVING RESIDENCE, 9057 NW 57TH ST, TAMARAC, FL 33351 |
| ZIP code: | 33351 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215461157 | 2017-04-18 | 2017-04-18 | 3799 N PINE ISLAND RD, SUNRISE, FL, 333516528, US | 9057 NW 57TH ST, TAMARAC, FL, 333514305, US | |||||||||||||||||
|
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| Phone | +1 954-721-1115 |
Authorized person
| Name | MRS. ANNE IMBERT |
| Role | MANAGER |
| Phone | 9546551067 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9969 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AGOSTINI, ANNE | Agent | 3799 N PINE ISLAND RD, SUNRISE, FL 33351 |
| Name | Role | Address |
|---|---|---|
| AGOSTINI, ANNE | Manager | 3799 N PINE ISLAND ROAD, SUNRISE, FL 33351 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000071849 | ACTIVE SENIOR LIVING RESIDENCE | ACTIVE | 2023-06-13 | 2028-12-31 | No data | 9057 NW 57TH ST, TAMARAC, FL, 33351 |
| G17000012855 | ACTIVE SENIOR LIVING RESIDENCE | EXPIRED | 2017-02-03 | 2022-12-31 | No data | 9057 NW 57TH ST., TAMARAC, FL, 33351 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-17 | 3799 N PINE ISLAND RD, SUNRISE, FL 33351 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-05 | AGOSTINI, ANNE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-05-16 | d/b/a ACTIVE SENIOR LIVING RESIDENCE, 9057 NW 57TH ST, TAMARAC, FL 33351 | No data |
| CHANGE OF MAILING ADDRESS | 2017-05-16 | d/b/a ACTIVE SENIOR LIVING RESIDENCE, 9057 NW 57TH ST, TAMARAC, FL 33351 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-03-27 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-03-10 |
| Florida Limited Liability | 2017-01-27 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
