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