| Entity Name: | SHIFTING SANDS ADULT DAY CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SHIFTING SANDS ADULT DAY CENTER, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 06 Mar 2018 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (3 years ago) |
| Document Number: | L18000058878 |
| FEI/EIN Number |
82-4662042
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 28410 Bonita Crossings Blvd, Bonita Springs, FL, 34135, US |
| Mail Address: | 28410 Bonita Crossings Blvd, Bonita Springs, FL, 34135, US |
| ZIP code: | 34135 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841855822 | 2019-05-06 | 2019-06-11 | 28410 BONITA CROSSINGS BLVD UNIT 7, BONITA SPRINGS, FL, 341353211, US | 28410 BONITA CROSSINGS BLVD UNIT 7, BONITA SPRINGS, FL, 341353211, US | |||||||||||||||||||||
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| Phone | +1 239-777-3422 |
| Phone | +1 239-405-7009 |
Authorized person
| Name | TAMMY WILKINSON |
| Role | ADMINISTRATOR |
| Phone | 2394057009 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101754500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RICHARDSON SCOTT | Authorized Representative | 1579 Whispering Oaks Circle, NAPLES, FL, 34110 |
| WILKINSON TAMATHA | Manager | 1579 Whispering Oaks Circle, NAPLES, FL, 34110 |
| RICHARDSON SCOTT | Agent | 1579 Whispering Oaks Circle, NAPLES, FL, 34110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-29 | 28410 Bonita Crossings Blvd, Suite 7, Bonita Springs, FL 34135 | - |
| CHANGE OF MAILING ADDRESS | 2019-05-29 | 28410 Bonita Crossings Blvd, Suite 7, Bonita Springs, FL 34135 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-05-29 | 1579 Whispering Oaks Circle, NAPLES, FL 34110 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-09-24 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-05-29 |
| Florida Limited Liability | 2018-03-06 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7776708510 | 2021-03-06 | 0455 | PPS | 28410 Bonita Crossings Blvd Unit 7, Bonita Springs, FL, 34135-3211 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1167027802 | 2020-05-01 | 0455 | PPP | 28410 BONITA CROSSINGS BLVD, BONITA SPRINGS, FL, 34135 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
