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. |
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 |
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 | |||||||||||||||||||||
|
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 |
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 |
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