Search icon

LAKESHORE MANOR AT LAKE JACKSON, LLC - Florida Company Profile

Company Details

Entity Name: LAKESHORE MANOR AT LAKE JACKSON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LAKESHORE MANOR AT LAKE JACKSON, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 07 Feb 2018 (7 years ago)
Document Number: L18000034148
FEI/EIN Number 82-4472049

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 505 ARIANA AVENUE, AUBURNDALE, FL, 33823, US
Mail Address: 505 ARIANA AVENUE, AUBURNDALE, FL, 33823, US
ZIP code: 33823
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1588248322 2021-05-07 2022-11-14 505 ARIANA AVE, AUBURNDALE, FL, 338234139, US 2397 US HIGHWAY 97 S, SEBRING, FL, 33870, US

Contacts

Phone +1 863-226-0358
Phone +1 813-471-0772

Authorized person

Name LOUIS F GARRARD V
Role OWNER
Phone 8632260358

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 113392600
State FL

Key Officers & Management

Name Role Address
GARRARD V LOUIS F Manager 505 ARIANA AVENUE, AUBURNDALE, FL, 33823
GRAY JR ESQ N. DWAYNE Agent 315 E ROBINSON STREET, STE 600, ORLANDO, FL, 32801

Documents

Name Date
ANNUAL REPORT 2024-03-28
ANNUAL REPORT 2023-03-03
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-03-01
ANNUAL REPORT 2020-04-28
ANNUAL REPORT 2019-04-04
Florida Limited Liability 2018-02-07

Date of last update: 03 Mar 2025

Sources: Florida Department of State