| Entity Name: | SHALLOW ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L17000197206 |
| FEI/EIN Number | 82-2872485 |
| Address: | 9035 SHALLOWFORD LN, PORT RICHEY, FL, 34668, US |
| Mail Address: | 9035 SHALLOWFORD LN, PORT RICHEY, FL, 34668, US |
| ZIP code: | 34668 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235694951 | 2019-02-06 | 2019-02-06 | 9035 SHALLOWFORD LN, PORT RICHEY, FL, 346684837, US | 9035 SHALLOWFORD LN, PORT RICHEY, FL, 346684837, US | |||||||||||||
|
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| Phone | +1 813-895-4424 |
Authorized person
| Name | YULEISIS MILLAN |
| Role | ADMINISTRATOR |
| Phone | 8139471919 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Toledo Guillermo | Agent | 9035 SHALLOWFORD LN, PORT RICHEY, FL, 34668 |
| Name | Role | Address |
|---|---|---|
| Toledo Guillermo | Manager | 9035 SHALLOWFORD LN, PORT RICHEY, FL, 34668 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-07-27 | 9035 SHALLOWFORD LN, PORT RICHEY, FL 34668 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-27 | Toledo, Guillermo | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-02-16 |
| AMENDED ANNUAL REPORT | 2022-08-01 |
| ANNUAL REPORT | 2022-07-27 |
| AMENDED ANNUAL REPORT | 2021-12-07 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-06-04 |
| ANNUAL REPORT | 2019-02-15 |
| ANNUAL REPORT | 2018-03-30 |
| Florida Limited Liability | 2017-09-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
