| Entity Name: | DELRAY SENIOR LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 09 Oct 2018 (6 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L18000238701 |
| FEI/EIN Number | 83-3833066 |
| Address: | 1578 Marley Lane, Auburn, AL 36830 |
| Mail Address: | 1578 Marley Lane, Auburn, AL 36830 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871268623 | 2021-08-13 | 2023-06-15 | 4301 ANCHOR PLAZA PKWY STE 300, TAMPA, FL, 336347521, US | 14100 VIA FLORA, DELRAY BEACH, FL, 334841645, US | |||||||||||||||||||||||
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| Phone | +1 813-330-2660 |
| Fax | 8448080071 |
| Phone | +1 561-612-6770 |
Authorized person
| Name | BILLIE ABREU |
| Role | RM & COMPLIANCE MANAGER |
| Phone | 8133302660 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | AL13613 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CLARK, CAMPBELL, LANCASTER & MUNSON, P.A. | Agent | 500 SOUTH FLORIDA AVENUE, SUITE 800, LAKELAND, FL 33801 |
| Name | Role |
|---|---|
| DELRAY SENIOR HOLDINGS, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000097755 | BELLA MAR AT DELRAY BEACH | ACTIVE | 2024-08-16 | 2029-12-31 | No data | PO BOX 1134, ESTERO, FL, 33929 |
| G20000109107 | INSPIRED LIVING DELRAY BEACH | ACTIVE | 2020-08-24 | 2025-12-31 | No data | P.O. BOX 1134, ESTERO, FL, 33929 |
| G20000108455 | INSPIRED LIVING DELRAY | ACTIVE | 2020-08-21 | 2025-12-31 | No data | P.O. BOX 1134, ESTERO, FL, 33929 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-20 | 1578 Marley Lane, Auburn, AL 36830 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-20 | 1578 Marley Lane, Auburn, AL 36830 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-07-20 |
| ANNUAL REPORT | 2019-04-05 |
| Florida Limited Liability | 2018-10-09 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
