| Entity Name: | MEMORIAL ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Feb 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2019 (5 years ago) |
| Document Number: | L18000047255 |
| FEI/EIN Number | 82-4544871 |
| Address: | 14801 54TH WAY N, CLEARWATER, FL, 33760 |
| Mail Address: | 14801 54TH WAY N, CLEARWATER, FL, 33760 |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528684677 | 2020-06-24 | 2020-06-24 | 14801 54TH WAY N, CLEARWATER, FL, 337602606, US | 14801 54TH WAY N, CLEARWATER, FL, 337602606, US | |||||||||||||||||||
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| Phone | +1 813-401-2527 |
Authorized person
| Name | EUSEBIO AQUINO |
| Role | OWNER |
| Phone | 8134012527 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102061800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Aquino Eusebio M | Agent | 14801 54TH WAY N, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| Aquino Eusebio M | Manager | 14801 54TH WAY N, CLEARWATER, FL, 33760 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2019-10-09 | Aquino, Eusebio M. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-10-09 | 14801 54TH WAY N, CLEARWATER, FL 33760 | No data |
| REINSTATEMENT | 2019-10-02 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-06-29 |
| AMENDED ANNUAL REPORT | 2019-10-09 |
| REINSTATEMENT | 2019-10-02 |
| Florida Limited Liability | 2018-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
