| Entity Name: | INFINITY AT LAKE EUSTIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 May 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 29 Apr 2024 (9 months ago) |
| Document Number: | L20000134992 |
| FEI/EIN Number | 85-1087444 |
| Address: | 27 S. CENTER ST., EUSTIS, FL 32726 |
| Mail Address: | 27 S. CENTER ST., EUSTIS, FL 32726 |
| ZIP code: | 32726 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316537046 | 2021-01-26 | 2024-09-05 | 27 S CENTER ST, EUSTIS, FL, 327264147, US | 27 S CENTER ST, EUSTIS, FL, 327264147, US | |||||||||||||||||||
|
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| Phone | +1 407-579-0426 |
Authorized person
| Name | MRS. TONYA OLIVER |
| Role | ADMINISTRATOR |
| Phone | 4075790426 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ABRAHAMS, ELOISE | Agent | 27 S CENTER ST, EUSTIS, FL 32726 |
| Name | Role | Address |
|---|---|---|
| Oliver, Stevie | Authorized Member | 27 S. CENTER ST., EUSTIS, FL 32726 |
| OLIVER, TONYA | Authorized Member | 27 S CENTER ST, EUSTIS, FL 32726 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2024-04-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | ABRAHAMS, ELOISE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 27 S CENTER ST, EUSTIS, FL 32726 | No data |
| Name | Date |
|---|---|
| LC Amendment | 2024-04-29 |
| ANNUAL REPORT | 2024-03-09 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-12 |
| ANNUAL REPORT | 2021-09-08 |
| Florida Limited Liability | 2020-05-18 |
Date of last update: 15 Jan 2025
Sources: Florida Department of State
