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ELEVATED ESTATES EDWINOLA LLC

Company Details

Entity Name: ELEVATED ESTATES EDWINOLA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Apr 2022 (3 years ago)
Document Number: L22000170351
FEI/EIN Number 88-2550432
Mail Address: 7320 ANDORRA PL, BOCA RATON, FL, 33433, UN
Address: 14235 EDWINOLA WAY, DADE CITY, FL, 33523, UN
ZIP code: 33523
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831812627 2022-09-26 2022-09-26 7044 FALLBROOK CT, NEW PORT RICHEY, FL, 346554204, US 14235 EDWINOLA WAY, DADE CITY, FL, 335233763, US

Contacts

Phone +1 352-567-6500

Authorized person

Name LARRY PRESCOTT
Role CONSULTANT
Phone 7279190396

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELEVATED ESTATES EDWINOLA 2023 882550432 2024-09-05 ELEVATED ESTATES EDWINOLA 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 623000
Sponsor’s telephone number 3474522309
Plan sponsor’s address 7320 ANDORRA PL, BOCA RATON, FL, 33433

Signature of

Role Plan administrator
Date 2024-09-05
Name of individual signing SHIRLEY HORNER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
YSK CONSULTANTS INC Agent

Manager

Name Role
ELEVATED ESTATES HOLDINGS MGR LLC Manager

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-04-20
Florida Limited Liability 2022-04-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State