| 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
