| Entity Name: | SH NORTHDALE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Aug 2019 (5 years ago) |
| Document Number: | L19000207331 |
| FEI/EIN Number | 84-2793706 |
| 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 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558908855 | 2019-12-05 | 2020-02-26 | 2573 BARRINGTON CIR, TALLAHASSEE, FL, 323086805, US | 3401 W BEARSS AVE, TAMPA, FL, 336182143, US | |||||||||||||||||||||||||
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| Phone | +1 813-961-1044 |
Authorized person
| Name | SETH WALKER |
| Role | CFO |
| Phone | 8505837990 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 104709900 |
| State | FL |
| Issuer | ALF LICENSE |
| Number | 9500 |
| State | FL |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role |
|---|---|
| SH SENIOR HOLDINGS, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000096839 | THE COLONNADE AT NORTHDALE | ACTIVE | 2019-09-04 | 2029-12-31 | No data | 2573 BARRINGTON CIRCLE, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | Registered Agents Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 7901 4th St N, STE 300, St Petersburg, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-03-01 |
| ANNUAL REPORT | 2022-02-07 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-02-06 |
| Florida Limited Liability | 2019-08-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
