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COLONIAL ASSISTED LIVING AT PALM BEACH, LLC - Florida Company Profile

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Company Details

Entity Name: COLONIAL ASSISTED LIVING AT PALM BEACH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 15 Jun 2021 (4 years ago)
Document Number: L21000278427
FEI/EIN Number 87-1256546
Address: 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309, US
Mail Address: 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309, US
ZIP code: 33309
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Kaneti Ricki Manager 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309
Kaneti Ricki Agent 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309

National Provider Identifier

NPI Number:
1295304202
Certification Date:
2021-06-23

Authorized Person:

Name:
RICKI KANETI
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
310400000X - Assisted Living Facility
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000150336 SENIOR LIVING PROPERTIES ACTIVE 2021-11-09 2026-12-31 - 2090 N CONGRESS AVE, WEST PALM BEACH, FL, 33401

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-04-25 2090 N CONGRESS AVE, WEST PALM BEACH, FL 33401 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-25 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL 33309 -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-01-19
ANNUAL REPORT 2022-04-22
Florida Limited Liability 2021-06-15

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Date of last update: 03 Aug 2025

Sources: Florida Department of State