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EMBASSY INDIAN OAKS, LLC

Company Details

Entity Name: EMBASSY INDIAN OAKS, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 20 Mar 2020 (5 years ago)
Document Number: L20000084488
FEI/EIN Number 850722758
Address: 11355 131st Street North, Largo, FL, 33774, US
Mail Address: 11355 131st Street North, Largo, FL, 33774, US
ZIP code: 33774
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235759846 2020-04-23 2020-09-11 240 N WASHINGTON BLVD STE 430, SARASOTA, FL, 342365933, US 11355 131ST ST, LARGO, FL, 337744716, US

Contacts

Phone +1 941-362-4753
Fax 9413624766

Authorized person

Name GEORGE S REPCHICK
Role MANAGER
Phone 9413624753

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role
CROSS STREET CORPORATE SERVICES, LLC Agent

Manager

Name Role Address
EMBASSY FL TENNANT HOLDINGS, LLC. Manager 25201 CHAGRIN BLVD SUITE 190, BEACHWOOD, OH, 44122

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000136923 INDIAN OAKS ACTIVE 2020-10-22 2025-12-31 No data 11355 131ST STREET, LARGO, FL, 33774

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2025-01-07 11355 131st Street North, Largo, FL 33774 No data
CHANGE OF PRINCIPAL ADDRESS 2025-01-02 11355 131st Street North, Largo, FL 33774 No data
REGISTERED AGENT ADDRESS CHANGED 2023-10-30 50 CENTRAL AVENUE,, 8TH FLOOR,, SARASOTA, FL 34236 No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-29
Florida Limited Liability 2020-03-20

Date of last update: 03 Feb 2025

Sources: Florida Department of State