| Entity Name: | COLONIAL ASSISTED LIVING AT FORT LAUDERDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Aug 2017 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 Dec 2018 (6 years ago) |
| Document Number: | L17000181629 |
| FEI/EIN Number | 82-2590465 |
| Mail Address: | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL 33309 |
| Address: | 2801 NW 55TH AVENUE, LAUDERHILL, FL 33313 |
| ZIP code: | 33313 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487156196 | 2018-03-08 | 2018-03-08 | 200 S ROSEMARY AVE STE 2, WEST PALM BEACH, FL, 334015746, US | 2801 NW 55TH AVE, LAUDERHILL, FL, 333132509, US | |||||||||||||||||
|
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| Phone | +1 954-283-1048 |
Authorized person
| Name | RICKI KANETI |
| Role | MANAGER |
| Phone | 9546006333 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 7249 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ITSKOVICH, DAVID | Agent | 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL 33309 |
| Name | Role | Address |
|---|---|---|
| KANETI, RICKI | Manager | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL 33309 |
| EISENMANN, ASTRID | Manager | 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL 33309 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-21 | 2801 NW 55TH AVENUE, LAUDERHILL, FL 33313 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-07 | ITSKOVICH, DAVID | No data |
| LC STMNT OF RA/RO CHG | 2018-12-13 | No data | No data |
| LC NAME CHANGE | 2017-12-05 | COLONIAL ASSISTED LIVING AT FORT LAUDERDALE, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-02-07 |
| CORLCRACHG | 2018-12-13 |
| ANNUAL REPORT | 2018-04-02 |
| LC Name Change | 2017-12-05 |
| Florida Limited Liability | 2017-08-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
