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SH LAKE HOWARD, LLC

Company Details

Entity Name: SH LAKE HOWARD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 01 Feb 2019 (6 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L19000033244
FEI/EIN Number 61-1921743
Address: 2573 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308, US
Mail Address: 2573 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215591144 2019-04-25 2020-02-26 2573 BARRINGTON CIR, TALLAHASSEE, FL, 323086805, US 650 N LAKE HOWARD DR, WINTER HAVEN, FL, 338813162, US

Contacts

Phone +1 863-293-3171

Authorized person

Name SETH WALKER
Role CFO, SRI MANAGEMENT, LLC
Phone 8505837990

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 103042200
State FL

Agent

Name Role Address
HANEY MARK T Agent 1656 METROPOLITAN CIRCLE, TALLAHASSEE, FL, 32308

Manager

Name Role
SH SENIOR HOLDINGS, LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000034920 LAKE HOWARD HEIGHTS EXPIRED 2019-03-15 2024-12-31 No data 2573 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-02-06
Florida Limited Liability 2019-02-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State