| Entity Name: | J1513, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Sep 2022 (2 years ago) |
| Document Number: | L22000403682 |
| FEI/EIN Number | 92-0574894 |
| Address: | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770, US |
| Mail Address: | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215793641 | 2024-02-23 | 2024-02-23 | 200 CLEARWATER LARGO RD S, LARGO, FL, 337703235, US | 3600 OAK MANOR LN, LARGO, FL, 337741212, US | |||||||||||||||
|
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| Phone | +1 727-489-0847 |
| Phone | +1 727-581-9427 |
Authorized person
| Name | KEVIN RYAN ROCKEFELLER |
| Role | CEO |
| Phone | 9044225231 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RK1 | Agent | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| ROCKEFELLER KEVIN RYAN | Manager | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| Hollenbeck Daniel | Auth | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Graham Brad | Auth | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000070269 | OAK MANOR SENIOR LIVING COMMUNITY | ACTIVE | 2023-06-08 | 2028-12-31 | No data | 200 CLEARWATER-LARGO RD S., LARGO, FL, 33770 |
| G22000124887 | OAK MANOR HEALTHCARE & REHABILITATION CENTER | ACTIVE | 2022-10-05 | 2027-12-31 | No data | 200 CLEARWATER-LARGO RD S, LARGO, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-27 | RK1 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL 33770 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-09-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
