| Entity Name: | PREMIER ASSISTED LIVING FACILITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jan 2019 (6 years ago) |
| Document Number: | L19000005688 |
| FEI/EIN Number | 83-2985321 |
| Mail Address: | 138 passage drive, fleming island, FL, 32003, US |
| Address: | 319 Eldridge Ave, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962140210 | 2022-05-26 | 2022-05-26 | 138 PASSAGE DR, FLEMING ISLAND, FL, 320038077, US | 319 ELDRIDGE AVE, ORANGE PARK, FL, 320732956, US | |||||||||||||||||
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| Phone | +1 904-451-5570 |
| Fax | 9046448378 |
| Phone | +1 904-541-4605 |
Authorized person
| Name | ASHRAF GAYED ANDRAWIS |
| Role | OWNER |
| Phone | 9044515570 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDRAWIS ASHRAF | Agent | 138 passage drive, Fleming Island, FL, 32003 |
| Name | Role | Address |
|---|---|---|
| ANDRAWIS ASHRAF | Manager | 138 passage drive, fleming island, FL, 32003 |
| ANDRAWIS JACKIE | Manager | 138 passage drive, fleming island, FL, 32003 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-20 | 319 Eldridge Ave, Orange Park, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-20 | 138 passage drive, Fleming Island, FL 32003 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-07 | 319 Eldridge Ave, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-14 |
| Florida Limited Liability | 2019-01-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
