| Entity Name: | SENIOR LIVING IX WINDERMERE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 25 Aug 2017 (7 years ago) |
| Document Number: | L17000183600 |
| FEI/EIN Number | 82-2627285 |
| Address: | 4301 ANCHOR PLAZA PARKWAY,, STE. 300, TAMPA, FL 33634 |
| Mail Address: | 4301 ANCHOR PLAZA PARKWAY,, STE. 300, TAMPA, FL 33634 |
| ZIP code: | 33634 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558036301 | 2021-08-13 | 2021-08-13 | 4301 ANCHOR PLAZA PKWY STE 400, TAMPA, FL, 336347529, US | 1061 TOMYN BLVD, OCOEE, FL, 347614939, US | |||||||||||||||||||||||
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| Phone | +1 813-330-2660 |
| Fax | 8448080071 |
| Phone | +1 407-961-7400 |
Authorized person
| Name | BILLIE ABREU |
| Role | RM & COMPLIANCE MANAGER |
| Phone | 8133302660 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | AL12906 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KOCHE, DAVID L | Agent | 601 BAYSHORE BLVD., STE. 700, TAMPA, FL |
| Name | Role | Address |
|---|---|---|
| HACKER, LINDSEY | Chief Financial Officer | 4301 ANCHOR PLAZA PARKWAY,, STE. 300 TAMPA, FL 33634 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000014689 | INSPIRED LIVING | ACTIVE | 2018-01-26 | 2028-12-31 | No data | 4301 ANCHOR PLAZA PARKWAY, SUITE 300, TAMPA, FL, 33634 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-02 | 4301 ANCHOR PLAZA PARKWAY,, STE. 300, TAMPA, FL 33634 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-02 | 4301 ANCHOR PLAZA PARKWAY,, STE. 300, TAMPA, FL 33634 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-02-24 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-04-13 |
| Florida Limited Liability | 2017-08-25 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
