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CHELSEA PLACE ADULT DAY CARE, LLC

Company Details

Entity Name: CHELSEA PLACE ADULT DAY CARE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 Feb 2017 (8 years ago)
Document Number: L17000034094
FEI/EIN Number 81-5374746
Address: 3626 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952, US
Mail Address: 3626 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952, US
ZIP code: 33952
County: Charlotte
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205340817 2017-11-20 2024-06-18 3626 TAMIAMI TRL, PORT CHARLOTTE, FL, 339528243, US 3626 TAMIAMI TRL, PORT CHARLOTTE, FL, 339528243, US

Contacts

Phone +1 941-883-6600
Fax 9418836601

Authorized person

Name AMBER SIMPSON
Role ACCOUNT MANAGER
Phone 9418836600

Taxonomy

Taxonomy Code 261QA0600X - Adult Day Care Clinic/Center
License Number 9400
State FL
Is Primary Yes

Agent

Name Role Address
CHANA KRISTOPHER M Agent 3626 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Manager

Name Role Address
CHANA KRISTOPHER M Manager 3626 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000005106 ACTIVAGE AT CHELSEA PLACE ACTIVE 2022-01-13 2027-12-31 No data 3626 TAMIAMI TRAIL, PORT CHARLOTTE, FL, 33952

Documents

Name Date
ANNUAL REPORT 2024-03-15
ANNUAL REPORT 2023-01-13
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-03-04
ANNUAL REPORT 2020-01-27
ANNUAL REPORT 2019-03-27
ANNUAL REPORT 2018-03-31
Florida Limited Liability 2017-02-13

Date of last update: 02 Feb 2025

Sources: Florida Department of State