| Entity Name: | PACIFICA BG MABRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Mar 2021 (4 years ago) |
| Document Number: | L21000121964 |
| FEI/EIN Number | 86-2806455 |
| Mail Address: | 1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110 |
| Address: | 16702 North Dale Mabry Highway, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831819523 | 2022-09-01 | 2022-09-01 | 1775 HANCOCK STREET, SUITE 200, SAN DIEGO, CA, 92110, US | 16702 N. DALE MABRY HIGHWAY, TAMPA, FL, 336181055, US | |||||||||||||||||||||||
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| Phone | +1 619-296-9000 |
| Fax | 6192969090 |
| Phone | +1 813-908-2333 |
| Fax | 8139083528 |
Authorized person
| Name | DEEPAK ISRANI |
| Role | GENERAL MANAGER |
| Phone | 6192969000 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| Is Primary | No |
| Name | Role |
|---|---|
| PARACORP INCORPORATED | Agent |
| Name | Role | Address |
|---|---|---|
| ISRANI, DEEPAK | Manager | 1775 HANCOCK ST STE 200, SAN DIEGO, CA 92110 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000064464 | TAMPA GARDENS SENIOR LIVING | ACTIVE | 2021-05-11 | 2026-12-31 | No data | 1775 HANCOCK ST STE 200, SAN DIEGO, CA, 92110 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-31 | 16702 North Dale Mabry Highway, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-27 |
| Florida Limited Liability | 2021-03-24 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
