| Entity Name: | AWAKEN ASSISTED LIVING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 May 2023 (2 years ago) |
| Document Number: | L23000226588 |
| FEI/EIN Number | 92-3999153 |
| Address: | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL 33579 |
| Mail Address: | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL 33579 |
| ZIP code: | 33579 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033955638 | 2024-07-02 | 2024-07-02 | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL, 335792429, US | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL, 335792429, US | |||||||||||||
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| Phone | +1 813-998-7136 |
Authorized person
| Name | OTAVIA EDWARDS |
| Role | OWNER |
| Phone | 8139987136 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDWARDS, OTAVIA | Agent | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL 33579 |
| Name | Role | Address |
|---|---|---|
| EDWARDS, OTAVIA | Authorized Member | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL 33579 |
| BRYCE, SHAMARA | Authorized Member | 11102 PURPLE MARTIN BLVD, RIVERVIEW, FL 33579 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-09-15 |
| Florida Limited Liability | 2023-05-08 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
