| Entity Name: | ASSISTED LIVING & ADULT CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Jul 2018 (7 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Dec 2021 (3 years ago) |
| Document Number: | L18000165420 |
| FEI/EIN Number | 84-4366546 |
| Address: | 242 NE 42ND STREET, 242 Northeast 42nd Street, DEERFIELD BEACH, FL, 33064, US |
| Mail Address: | 242 NE 42ND STREET, 242 Northeast 42nd Street, DEERFIELD BEACH, FL, 33064, US |
| ZIP code: | 33064 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235701319 | 2021-07-16 | 2021-07-16 | 242 NE 42ND ST, DEERFIELD BEACH, FL, 330643522, US | 242 NE 42ND ST, DEERFIELD BEACH, FL, 330643522, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-933-7742 |
Authorized person
| Name | JENNIFER LUBIN |
| Role | ADMIN |
| Phone | 5618095627 |
Taxonomy
| Taxonomy Code | 261QA0600X - Adult Day Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Taxonomy Code | 364SL0600X - Long-Term Care Clinical Nurse Specialist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AHCA |
| Number | 13595 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUBIN JENNIFER | Agent | 242 NE 42ND STREET, DEERFIELD BEACH, FL, 33064 |
| Name | Role | Address |
|---|---|---|
| LUBIN JENNIFER | Manager | 549 BRITTANY L, DELRAY BEACH, FL, 33446 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000071572 | A1 SENIOR LIVING | ACTIVE | 2020-06-24 | 2025-12-31 | No data | 242 NE 42ND STREET, POMPANO BEACH, FL, 33064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-12-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-12-15 | 242 NE 42ND STREET, 242 Northeast 42nd Street, DEERFIELD BEACH, FL 33064 | No data |
| CHANGE OF MAILING ADDRESS | 2021-12-15 | 242 NE 42ND STREET, 242 Northeast 42nd Street, DEERFIELD BEACH, FL 33064 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-15 | LUBIN, JENNIFER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-15 | 242 NE 42ND STREET, 242 Northeast 42nd Street, DEERFIELD BEACH, FL 33064 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-05-03 |
| REINSTATEMENT | 2021-12-15 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-07-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
