| Entity Name: | BLUE RIBBON CARE ASSISTED LIVING FACILITY II, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 08 Jun 2018 (7 years ago) |
| Date of dissolution: | 14 Dec 2019 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Dec 2019 (5 years ago) |
| Document Number: | L18000142251 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 22594 SW 65TH TERRACE, BOCA RATON, FL, 33428 |
| Mail Address: | 22594 SW 65TH TERRACE, BOCA RATON, FL, 33428 |
| ZIP code: | 33428 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174185102 | 2019-06-29 | 2019-06-29 | 22594 SW 65TH TER, BOCA RATON, FL, 334286049, US | 22594 SW 65TH TER, BOCA RATON, FL, 334286049, US | |||||||||||||||||||||
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| Phone | +1 786-510-0286 |
| Fax | 5613546031 |
Authorized person
| Name | MS. RENNAY ROSE |
| Role | ADMINISTRATOR |
| Phone | 7865100286 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | R200721795570 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ROSE RENNAY A | Agent | 7958 NW 18TH CT, PEMBROKE PINES, FL, 33024 |
| Name | Role | Address |
|---|---|---|
| ROSE RENNAY A | Manager | 7958 NW 18TH CT, PEMBROKE PINES, FL, 33024 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-14 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-12-14 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-06-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
