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LOVING CARE ASSISTED LIVING HOME, LLC

Company Details

Entity Name: LOVING CARE ASSISTED LIVING HOME, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 03 Apr 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 08 Aug 2023 (a year ago)
Document Number: L23000164062
FEI/EIN Number 923302196
Address: 558 RHEINE RD NW, PALM BAY, FL, 32907, US
Mail Address: 480 BENTON DRIVE, MELBOURNE, FL, 32901, US
ZIP code: 32907
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1922836824 2024-07-23 2024-07-30 558 RHEINE RD NW, PALM BAY, FL, 329071044, US 558 RHEINE RD NW, PALM BAY, FL, 329071044, US

Contacts

Phone +1 321-345-4811
Fax 3218210256

Authorized person

Name JEANETTE THOMPSON
Role ADMINISTRATOR
Phone 3212135531

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

Agent

Name Role Address
THOMPSON JEANETTE N Agent 480 BENTON DRIVE, MELBOURNE, FL, 32901

Manager

Name Role Address
THOMPSON NANNINA N Manager 480 BENTON DR, MELBOURNE, FL, 32901
THOMPSON JEANETTE Manager 480 BENTON DRIVE, MELBOURNE, FL, 32901

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000102939 LOVING CARE ASSISTED LIVING HOME OF PALM BAY ACTIVE 2023-08-30 2028-12-31 No data 558 RHEINE RD NW, PALM BAY, FL, 32907

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-08-08 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-13
LC Amendment 2023-08-08
Florida Limited Liability 2023-04-03

Date of last update: 01 Feb 2025

Sources: Florida Department of State