| Entity Name: | ELLIE'S ALF OF EUSTIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Apr 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 05 Oct 2018 (6 years ago) |
| Document Number: | L17000081771 |
| FEI/EIN Number | 821204274 |
| Address: | 907 EAST ORANGE AVENUE, EUSTIS, FL, 32726, US |
| Mail Address: | 575 NW 118TH AVENUE, PLANTATION, FL, 33325, US |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962921585 | 2017-09-14 | 2022-07-21 | 907 E ORANGE AVE, EUSTIS, FL, 327266249, US | 907 E ORANGE AVE, EUSTIS, FL, 327266249, US | |||||||||||||||||
|
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| Phone | +1 954-881-3703 |
| Fax | 3523572375 |
Authorized person
| Name | MRS. GENA ACKBERSINGH |
| Role | ADMINISTRATOR |
| Phone | 9548813703 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 6622 |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ackbersingh Gena | Agent | 575 NW 118TH AVE, PLANTATION, FL, 33325 |
| Name | Role | Address |
|---|---|---|
| GUYAH VIJAY | Authorized Representative | 14891 SW 37TH COURT, MIRAMAR, FL, 33027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000151214 | HENDERSON HOUSE ALF | ACTIVE | 2023-12-13 | 2028-12-31 | No data | 575 NW 118 AVE, PLANTATION, FL, 33325 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-10-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-10-05 | Ackbersingh, Gena | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-02-14 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-01-16 |
| REINSTATEMENT | 2018-10-05 |
| Florida Limited Liability | 2017-04-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
