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A BANYAN RESIDENCE AT WILDWOOD LLC

Company Details

Entity Name: A BANYAN RESIDENCE AT WILDWOOD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 02 May 2019 (6 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 05 Jun 2019 (6 years ago)
Document Number: L19000119297
FEI/EIN Number 83-4722083
Address: 12427 County Road 101, Oxford, FL 34484
Mail Address: 12427 County Road 101, Oxford, FL 34484
ZIP code: 34484
County: Sumter
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083201891 2020-12-28 2020-12-28 2515 SHERMAN OAK DR, NORTH PORT, FL, 342892390, US 12427 COUNTY ROAD 101, OXFORD, FL, 344842941, US

Contacts

Phone +1 941-249-0456
Fax 9414124749
Phone +1 954-854-8895

Authorized person

Name GREG ANDERSON
Role MANAGING MEMBER
Phone 9545364066

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
ANDERSON, GREG A Agent 3940 Bay Shore Rd, Sarasota, FL 34234

Manager

Name Role Address
Anderson, Greg A Manager 3940 Bay Shore Road, Sarasota, FL 34234-5209
Anderson, Greg Manager 3940 Bay Shore Road, Sarasota, FL 34234-5209

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-06 3940 Bay Shore Rd, Sarasota, FL 34234 No data
CHANGE OF MAILING ADDRESS 2022-10-24 12427 County Road 101, Oxford, FL 34484 No data
REGISTERED AGENT ADDRESS CHANGED 2022-10-24 12427 County Road 101, Oxford, FL 34484 No data
CHANGE OF PRINCIPAL ADDRESS 2020-12-18 12427 County Road 101, Oxford, FL 34484 No data
LC AMENDMENT 2019-06-05 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-06
ANNUAL REPORT 2024-01-05
ANNUAL REPORT 2023-01-23
AMENDED ANNUAL REPORT 2022-10-24
ANNUAL REPORT 2022-03-09
AMENDED ANNUAL REPORT 2021-07-14
ANNUAL REPORT 2021-01-28
AMENDED ANNUAL REPORT 2020-12-18
ANNUAL REPORT 2020-03-24
LC Amendment 2019-06-05

Date of last update: 16 Feb 2025

Sources: Florida Department of State