| Entity Name: | 141 BEACON OPERATOR LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Oct 2018 (6 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 09 Nov 2018 (6 years ago) |
| Document Number: | L18000255342 |
| FEI/EIN Number | 83-2664402 |
| Address: | 4700 6TH STREET SOUTH, ARLINGTON, VA, 22204, US |
| Mail Address: | 4700 6TH STREET SOUTH, ARLINGTON, VA, 22204, UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568014991 | 2019-07-16 | 2020-02-04 | 141 KAELYN LN, PORT ST JOE, FL, 324566180, US | 141 KAELYN LN, PORT ST JOE, FL, 324566180, US | |||||||||||||||||||
|
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| Phone | +1 850-647-4000 |
Authorized person
| Name | LUAN MORROW |
| Role | EXECUTIVE DIRECTOR |
| Phone | 9413204210 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104726900 |
| State | FL |
| Name | Role |
|---|---|
| NEXT STEPS SENIOR SOLUTIONS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SCHROEDER STEVEN F | Manager | 4700 6TH STREET SOUTH, ARLINGTON, VA, 22204 |
| Linville Jeffrey | Manager | 25536 NW 177th Lane, High Springs, FL, 32643 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000066071 | OUR HOME AT BEACON HILL | ACTIVE | 2019-06-10 | 2029-12-31 | No data | 4700 6TH STREET SOUTH, ARLINGTON, VA, 22204 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-06-01 | 4700 6TH STREET SOUTH, ARLINGTON, VA 22204 | No data |
| CHANGE OF MAILING ADDRESS | 2025-06-01 | 4700 6TH STREET SOUTH, ARLINGTON, VA 22204 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-06-01 | 4700 6TH STREET SOUTH, ARLINGTON, VA 22204 | No data |
| CHANGE OF MAILING ADDRESS | 2024-06-01 | 4700 6TH STREET SOUTH, ARLINGTON, VA 22204 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-12-09 | Next Steps Senior Solutions LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-12-09 | 25536 NW 177th Lane, High Springs, FL 32643 | No data |
| LC NAME CHANGE | 2018-11-09 | 141 BEACON OPERATOR LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-07-18 |
| AMENDED ANNUAL REPORT | 2021-12-09 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-02-26 |
| LC Name Change | 2018-11-09 |
| Florida Limited Liability | 2018-10-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
