| Entity Name: | JACKIE'S UNIQUE CARE RESIDENTIAL ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Aug 2018 (6 years ago) |
| Document Number: | L18000203131 |
| FEI/EIN Number | 83-1699793 |
| Address: | 3621 ARALIA COURT, WEST PALM BEACH, FL, 33406 |
| Mail Address: | 3621 ARALIA COURT, WEST PALM BEACH, FL, 33406 |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548809163 | 2019-12-30 | 2020-09-21 | 3621 ARALIA CT, WEST PALM BEACH, FL, 334065637, US | 3621 ARALIA CT, WEST PALM BEACH, FL, 334065637, US | |||||||||||||||||||
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| Phone | +1 561-707-0509 |
Authorized person
| Name | MS. JACQUELINE SNEED |
| Role | OWNER |
| Phone | 5617070509 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 105210000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SNEED JACQUELINE | Agent | 3621 Aralia Court, West Palm Beach, FL, 33406 |
| Name | Role | Address |
|---|---|---|
| SNEED JACQUELINE | Manager | 3621 Aralia Court, West Palm Beach, FL, 33406 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-14 | 3621 Aralia Court, West Palm Beach, FL 33406 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-04-03 |
| Florida Limited Liability | 2018-08-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
