| Entity Name: | COASTAL QUALITY ASSISTED LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Aug 2022 (2 years ago) |
| Document Number: | L22000357520 |
| FEI/EIN Number | 88-3792052 |
| Address: | 804 Anita St, Fort Pierce, FL, 34982, US |
| Mail Address: | 804 Anita St, Fort Pierce, FL, 34982, US |
| ZIP code: | 34982 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215765615 | 2024-07-25 | 2024-07-25 | 804 ANITA ST, FORT PIERCE, FL, 349824006, US | 804 ANITA ST, FORT PIERCE, FL, 349824006, US | |||||||||||||||
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| Phone | +1 772-242-1037 |
| Fax | 7728283514 |
Authorized person
| Name | LORETTA SMITH |
| Role | ADMINISTRATOR/OWNER |
| Phone | 7722421037 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH WHITLEY | Agent | 804 Anita St, Fort Pierce, FL, 34982 |
| Name | Role | Address |
|---|---|---|
| SMITH LORETTA | Manager | 771 NW 17 CT, POMPANO BEACH, FL, 33060 |
| SMITH WHITLEY | Manager | 2168 CLUSTER LANE, GRAYSON, GA, 30017 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-02 | SMITH , WHITLEY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-10 | 804 Anita St, Fort Pierce, FL 34982 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-10 | 804 Anita St, Fort Pierce, FL 34982 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-10 | 804 Anita St, Fort Pierce, FL 34982 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-03-10 |
| Florida Limited Liability | 2022-08-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
