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COASTAL SENIOR LIVING FACILITY LLC - Florida Company Profile

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Company Details

Entity Name: COASTAL SENIOR LIVING FACILITY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Jun 2023 (2 years ago)
Document Number: L23000266494
FEI/EIN Number 931648412
Address: 6024 Golf and Sea Blvd, APOLLO BEACH, FL, 33572, US
Mail Address: 235 APOLLO BEACH BLVD, 182, APOLLO BEACH, FL, 33572, US
ZIP code: 33572
City: Apollo Beach
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JORDAN CHEVELLE RRN Chief Executive Officer 235 APOLLO BEACH BLVD #182, APOLLO BEACH, FL, 33572
JORDAN CHEVELLE R Agent 235 APOLLO BEACH BLVD, APOLLO BEACH, FL, 33572

National Provider Identifier

NPI Number:
1912762147
Certification Date:
2024-02-16

Authorized Person:

Name:
MRS. CHEVELLE JORDAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA0600X - Adult Day Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
3104A0625X - Assisted Living Facility (Mental Illness)
Is Primary:
No
Selected Taxonomy:
3104A0630X - Assisted Living Facility (Behavioral Disturbances)
Is Primary:
No
Selected Taxonomy:
311Z00000X - Custodial Care Facility
Is Primary:
No
Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
No

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000142817 COASTAL SENIOR LIVING ACTIVE 2023-11-24 2028-12-31 - 235 APOLLO BEACH BLVD, 182, APOLLO BEACH, FL, 33572

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-01-08 6024 Golf and Sea Blvd, APOLLO BEACH, FL 33572 -

Documents

Name Date
ANNUAL REPORT 2024-04-30
Florida Limited Liability 2023-06-01

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Date of last update: 02 Aug 2025

Sources: Florida Department of State