| Entity Name: | IHS AL SRQ, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jun 2019 (6 years ago) |
| Document Number: | L19000148699 |
| FEI/EIN Number | 851061888 |
| Address: | 5355 McIntosh Rd. Ste., H, SARASOTA, FL, 34233, US |
| Mail Address: | 5355 McIntosh Rd. Ste., H, SARASOTA, FL, 34233, US |
| ZIP code: | 34233 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285274910 | 2020-01-10 | 2020-01-10 | 240 N WASHINGTON BLVD STE 430, SARASOTA, FL, 342365933, US | 4612 MCINTOSH RD, SARASOTA, FL, 342331931, US | |||||||||||||||||||||||||
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| Phone | +1 941-362-4753 |
| Fax | 9413624766 |
| Phone | +1 941-923-3309 |
| Fax | 9419234023 |
Authorized person
| Name | LIZAIDA ROJAS |
| Role | ADMINISTRATOR |
| Phone | 9413624753 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AHCA LICENSE |
| Number | AL11383 |
| State | FL |
| Name | Role |
|---|---|
| CROSS STREET CORPORATE SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| REPCHICK GEORGE | Manager | 240 N. WASHINGTON BLVD., SUITE 430, SARASOTA, FL, 34236 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000124929 | MCINTOSH MANOR | EXPIRED | 2019-11-22 | 2024-12-31 | No data | 4612 MCINTOSH RD, SARASOTA, FL, 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-10-30 | 50 CENTRAL AVENUE,, 8TH FLOOR,, SARASOTA, FL 34236 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 5355 McIntosh Rd. Ste., H, SARASOTA, FL 34233 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 5355 McIntosh Rd. Ste., H, SARASOTA, FL 34233 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-01-27 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-20 |
| Florida Limited Liability | 2019-06-13 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
