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GENTLE HARBOR SENIOR CARE LLC

Company Details

Entity Name: GENTLE HARBOR SENIOR CARE LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 03 Jan 2020 (5 years ago)
Document Number: L20000010635
FEI/EIN Number 85-3048693
Address: 7003 FLINT DR, TAMPA, FL 33619
Mail Address: 7003 FLINT DR, TAMPA, FL 33619
ZIP code: 33619
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407438955 2021-04-24 2021-04-24 7003 FLINT DR, TAMPA, FL, 336195936, US 7003 FLINT DR, TAMPA, FL, 336195936, US

Contacts

Phone +1 813-403-9239
Fax 8132179660

Authorized person

Name DIONNE SARDON
Role OWNER
Phone 8134039239

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Other Provider Identifiers

Issuer AHCA
Number 13587
State FL

Agent

Name Role Address
SARDON, DIONNE A Agent 1014 Westside Dr, TAMPA, FL 33619

Authorized Person

Name Role Address
SARDON, DIONNE A Authorized Person 1014 westside DR, TAMPA, FL 33619

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-01-25 1014 Westside Dr, TAMPA, FL 33619 No data

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-01-15
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-05
ANNUAL REPORT 2021-01-13
Florida Limited Liability 2020-01-03

Date of last update: 15 Feb 2025

Sources: Florida Department of State