| Entity Name: | 621 PLANTATION ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Nov 2022 (2 years ago) |
| Document Number: | L22000486879 |
| FEI/EIN Number | 92-1040280 |
| Mail Address: | 2450 HOLLYWOOD BLVD, UNIT 605, HOLLYWOOD, FL, 33020 |
| Address: | 621 NW 76TH AVE, PLANTATION, FL, 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669176756 | 2023-03-30 | 2023-03-30 | 2450 HOLLYWOOD BLVD STE 605, HOLLYWOOD, FL, 330206627, US | 621 NW 76TH AVE, PLANTATION, FL, 333241440, US | |||||||||||||
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| Phone | +1 845-596-2743 |
Authorized person
| Name | JORDAN SCHILLER |
| Role | MEMBER |
| Phone | 8455962743 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SCHILLER JORDAN | Agent | 2450 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020 |
| Name | Role | Address |
|---|---|---|
| SCHILLER JORDAN | Manager | 2450 HOLLYWOOD BLVD, HOLLYWOOD, FL, 33020 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000146821 | AFH SENIOR CARE PLANTATION | ACTIVE | 2022-11-29 | 2027-12-31 | No data | 2450 HOLLYWOOD BLVD, SUITE 605, HOLLYWOOD, FL, 33020 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-02-16 |
| Florida Limited Liability | 2022-11-14 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
