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BEAR ASSISTED LIVING LLC

Company Details

Entity Name: BEAR ASSISTED LIVING LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Feb 2019 (6 years ago)
Document Number: L19000039510
FEI/EIN Number 83-3421406
Address: 2411 FORTUNE ROAD, KISSIMMEE, FL 34744
Mail Address: 2411 FORTUNE ROAD, KISSIMMEE, FL 34744
ZIP code: 34744
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346807021 2019-05-29 2019-05-29 2411 FORTUNE RD, KISSIMMEE, FL, 347443964, US 2411 FORTUNE RD, KISSIMMEE, FL, 347443964, US

Contacts

Phone +1 813-967-3808
Fax 4073480031

Authorized person

Name CHIRAG AMIN
Role OWNER
Phone 8139673808

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 102786300
State FL

Agent

Name Role
BEAR ALF LLC Agent

Manager

Name Role
BEAR ALF LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000050450 AMBERLAKE ASSISTED LIVING FACILITY EXPIRED 2019-04-24 2024-12-31 No data 2411 FORTUNE ROAD, KISSIMMEE, FL, 34744

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-14
Florida Limited Liability 2019-02-08

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
6558417006 2020-04-07 0455 PPP 8447 Dunham Station Drive, TAMPA, FL, 33647-3339
Loan Status Date 2021-03-19
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 38000
Loan Approval Amount (current) 38000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 98993
Servicing Lender Name Lake Michigan CU
Servicing Lender Address 5540 Glenwood Hills Pkwy SE, GRAND RAPIDS, MI, 49512-2044
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address TAMPA, HILLSBOROUGH, FL, 33647-3339
Project Congressional District FL-15
Number of Employees 23
NAICS code 623312
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 111774
Originating Lender Name Pilot Bank
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 38324.06
Forgiveness Paid Date 2021-02-19
8331718504 2021-03-09 0455 PPS 8447 Dunham Station Dr, Tampa, FL, 33647-3339
Loan Status Date 2022-02-04
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64450
Loan Approval Amount (current) 64450
Undisbursed Amount 0
Franchise Name -
Lender Location ID 99098
Servicing Lender Name DFCU Financial
Servicing Lender Address 400 Town Center Dr, DEARBORN, MI, 48126-2753
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33647-3339
Project Congressional District FL-15
Number of Employees 19
NAICS code 531110
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 123511
Originating Lender Name First Citrus Bank
Originating Lender Address TAMPA, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 64999.15
Forgiveness Paid Date 2022-01-21

Date of last update: 16 Feb 2025

Sources: Florida Department of State