| Entity Name: | STEPPING STONES ASSISTED LIVING FACILITY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 02 Jul 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000306103 |
| Address: | 183 SE COLUMBUS TRL, MADISON, FL 32340 |
| Mail Address: | 183 SE COLUMBUS TRL, MADISON, FL 32340 |
| ZIP code: | 32340 |
| County: | Madison |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639818693 | 2022-05-29 | 2022-05-29 | 183 SE COLUMBUS TRL, MADISON, FL, 323403100, US | 183 SE COLUMBUS TRL, MADISON, FL, 323403100, US | |||||||||||||||||||||||||||
|
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| Phone | +1 850-464-9617 |
Authorized person
| Name | MRS. STACEY DANIELS |
| Role | ADMINISTRATOR |
| Phone | 8504649617 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | No |
| Taxonomy Code | 3104A0625X - Assisted Living Facility (Mental Illness) |
| Is Primary | Yes |
| Taxonomy Code | 3104A0630X - Assisted Living Facility (Behavioral Disturbances) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 113658300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DANIELS, STACEY | Agent | 183 SE COLUMBUS TRL, MADISON, FL 32340 |
| Name | Role | Address |
|---|---|---|
| DANIELS, STACEY | Authorized Member | 183 SE COLUMBUS TRL, MADISON, FL 32340 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-07-02 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
