| Entity Name: | PURE RESTORATION ASSISTED LIVING OF CRYSTAL RIVER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PURE RESTORATION ASSISTED LIVING OF CRYSTAL RIVER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Sep 2017 (8 years ago) |
| Document Number: | L17000198081 |
| FEI/EIN Number |
82-2882563
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 6239 EDGEWATER DRIVE, A1, ORLANDO, FL, 32810 |
| Address: | 125 NE 9TH AVE, CRYSTAL RIVER, FL, 34429 |
| ZIP code: | 34429 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528562493 | 2018-03-23 | 2018-12-31 | 125 NE 9TH AVE, CRYSTAL RIVER, FL, 344294425, US | 125 NE 9TH AVE, CRYSTAL RIVER, FL, 344294425, US | |||||||||||||||||||
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| Phone | +1 321-750-6224 |
Authorized person
| Name | FRANCIA DAVID |
| Role | ADMINISTRATOR/OWNER |
| Phone | 3217506224 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ATN705105 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| 3-D FINANCIAL GROUP, LLC | Agent | - |
| DAVID GREGORY | Chief Executive Officer | 6239 EDGEWATER DRIVE SUITE A1, ORLANDO, FL, 32810 |
| DAVID FRANCIA | Chief Operating Officer | 6239 EDGEWATER DRIVE SUITE A1, ORLANDO, FL, 32810 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000106454 | PURE RESTORATION ASSISTED LIVING OF CRYSTAL RIVER | EXPIRED | 2017-09-26 | 2022-12-31 | - | 125 NE 9TH AVENUE, CRYSTAL RIVER, FL, 34429 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-03-06 |
| Florida Limited Liability | 2017-09-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9621398104 | 2020-07-28 | 0491 | PPP | 125 NE 9TH AVE, CRYSTAL RIVER, FL, 34429-4425 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
