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SUNCOAST NEW OPTIONS 107TH PLACE, LLC

Company Details

Entity Name: SUNCOAST NEW OPTIONS 107TH PLACE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Apr 2021 (4 years ago)
Document Number: L21000135532
FEI/EIN Number 86-3099223
Address: 5321 SE 107th Place, Belleview, FL, 34420, US
Mail Address: 4510 NW 6th Place 6th Place, 1st floor, Suite B, Gainesville, FL, 32607, US
ZIP code: 34420
County: Marion
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750962213 2021-04-16 2021-04-16 6531 MERIDIEN DR STE 103, RALEIGH, NC, 276163213, US 5321 SE 107TH PL, BELLEVIEW, FL, 344203231, US

Contacts

Phone +1 919-390-2980

Authorized person

Name MARY JOHNS BENSON
Role DIRECTOR OF BILLING
Phone 3365535946

Taxonomy

Taxonomy Code 315P00000X - Intellectual Disabilities Intermediate Care Facility
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Authorized Member

Name Role
GROUP HOME HOLDINGS, LLC Authorized Member

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-05-02 5321 SE 107th Place, Belleview, FL 34420 No data
CHANGE OF PRINCIPAL ADDRESS 2023-06-09 5321 SE 107th Place, Belleview, FL 34420 No data

Documents

Name Date
ANNUAL REPORT 2024-05-02
AMENDED ANNUAL REPORT 2023-06-09
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-28
Florida Limited Liability 2021-04-01

Date of last update: 01 Feb 2025

Sources: Florida Department of State