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GREEN SENIOR CARE OF TAMPA, LLC

Company Details

Entity Name: GREEN SENIOR CARE OF TAMPA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 26 Dec 2018 (6 years ago)
Date of dissolution: 27 Sep 2019 (5 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2019 (5 years ago)
Document Number: L18000291731
Address: 11290 WALSINGHAM RD., LARGO, FL 33778
Mail Address: 11290 WALSINGHAM RD., LARGO, FL 33778
ZIP code: 33778
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013473024 2019-02-14 2019-02-14 11290 WALSINGHAM RD, LARGO, FL, 337783101, US 1513 W FLETCHER AVE, TAMPA, FL, 336123315, US

Contacts

Phone +1 855-331-6615
Fax 8556384902

Authorized person

Name MR. DANA DEWITT SCOTT
Role PRESIDENT
Phone 8137318312

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role
CORPORATION COMPANY OF ORLANDO Agent

Manager

Name Role Address
SCOTT, DANA D Manager 11290 WALSINGHAM RD., LARGO, FL 33778
CLARK, MARISABEL Manager 11290 WALSINGHAM RD., LARGO, FL 33778

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000037754 GREEN SENIOR CARE OF TAMPA EXPIRED 2019-03-22 2024-12-31 No data 1513 FLETCHER AVENUE, TAMPA, FL, 33612

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 No data No data

Documents

Name Date
Florida Limited Liability 2018-12-26

Date of last update: 17 Jan 2025

Sources: Florida Department of State