| Entity Name: | HIBISCUS PALACE III ASSISTED LIVING FACILITY LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Nov 2017 (7 years ago) |
| Document Number: | L17000241132 |
| FEI/EIN Number | 82-3496340 |
| Address: | 113 MEADOW WOODE DRIVE, ROYAL PALM BEACH, FL, 33411 |
| Mail Address: | 7181 VIA LEONARDO, LAKE WORTH, FL, 33467 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508363474 | 2018-04-09 | 2018-04-09 | 7181 VIA LEONARDO, LAKE WORTH, FL, 334675236, US | 113 MEADOW WOODE DR, ROYAL PALM BEACH, FL, 334114720, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 561-385-2532 |
| Fax | 5619091548 |
| Phone | +1 561-793-7553 |
Authorized person
| Name | ANDREA MATTIS |
| Role | ADMINISTRATOR |
| Phone | 5613852532 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11708 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATTIS ANDREA | Agent | 7181 VIA LEONARDO, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| MATTIS ANDREA W | Authorized Member | 7181 VIA LEONARDO, LAKE WORTH, FL, 33467 |
| MATTIS SWINFORD P | Authorized Member | 7181 VIA LEONARDO, LAKE WORTH, FL, 33467 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-10 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-01 |
| Florida Limited Liability | 2017-11-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
