| Entity Name: | SONATA VERO BEACH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Feb 2018 (7 years ago) |
| Document Number: | L18000040015 |
| FEI/EIN Number | 82-4492188 |
| Address: | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 |
| Mail Address: | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902386733 | 2018-08-21 | 2018-08-21 | 2425 20TH ST, VERO BEACH, FL, 329606615, US | 2425 20TH ST, VERO BEACH, FL, 329606615, US | |||||||||||||||||||||
|
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| Phone | +1 772-770-2401 |
| Fax | 7727700313 |
Authorized person
| Name | BRENT ATWELL |
| Role | EXECUTIVE DIRECTOR |
| Phone | 7727702401 |
Taxonomy
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 20-8672070 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Halko, Brian | Agent | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 |
| Name | Role | Address |
|---|---|---|
| Mills, David | President | 824 US Highway 1, Suite 360 North Palm Beach, FL 33408 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000027836 | SONATA VERO BEACH | ACTIVE | 2021-02-26 | 2026-12-31 | No data | 390 N ORANGE AVENUE, SUITE 2150, ORLANDO, FL, 32801 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-25 | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-25 | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | Halko, Brian | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 824 US Highway 1, Suite 360, North Palm Beach, FL 33408 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-04-17 |
| Florida Limited Liability | 2018-02-15 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
