| Entity Name: | LAKE MORTON SENIOR LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Feb 2023 (2 years ago) |
| Document Number: | L23000095606 |
| FEI/EIN Number | 92-2503154 |
| Address: | 5801 ULMERTON RD STE 200, 200, CLEARWATER, FL 33760 UN |
| Mail Address: | 5801 ULMERTON RD STE 200, 200, CLEARWATER, FL 33760 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104519925 | 2023-05-29 | 2023-05-29 | 5801 ULMERTON RD STE 200, CLEARWATER, FL, 337603951, US | 400 FLORIDA AVE S, LAKELAND, FL, 338015254, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 727-683-1200 |
| Phone | +1 863-683-1000 |
Authorized person
| Name | KEVIN TAPP |
| Role | REGIONAL DIRECTOR OF OPERATIONS |
| Phone | 7274183148 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 5493000KBXFBN78M7I04 | L23000095606 | US-FL | GENERAL | ACTIVE | 2023-02-21 | |||||||||||||||||||
|
||||||||||||||||||||||||
| Legal | C/O MCCARTHY, TERENCE, Clearwater, US-FL, US, 33760 |
| Headquarters | 5801 ULMERTON RD STE 200, Clearwater, US-FL, US, 33760 |
Registration details
| Registration Date | 2023-06-16 |
| Last Update | 2024-06-17 |
| Status | LAPSED |
| Next Renewal | 2024-06-16 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | L23000095606 |
| Name | Role | Address |
|---|---|---|
| MCCARTHY, TERENCE | Agent | 5801 ULMERTON RD STE 200, CLEARWATER, FL 33760 |
| Name | Role | Address |
|---|---|---|
| MCCARTHY, TERENCE | Manager | 5801 ULMERTON RD STE 200, 200, CLEARWATER, FL 33760 UN |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000071377 | LAKE MORTON PLAZA | ACTIVE | 2024-06-07 | 2029-12-31 | No data | 400 S FLORIDA AVE, LAKELAND, FL, 33801 |
| G23000029274 | LAKE MORTON SENIOR LIVING | ACTIVE | 2023-03-03 | 2028-12-31 | No data | 5801 ULMERTON RD STE 200, CLEARWATER, FL, 33760 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| Florida Limited Liability | 2023-02-22 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State
