| Entity Name: | PARADISE PORT ST. LUCIE, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 18 Oct 1999 (25 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L99000006791 |
| FEI/EIN Number | 364323797 |
| Address: | 2277 SE LENNARD ROAD, PORT ST. LUCIE, FL, 34952 |
| Mail Address: | 2277 SE LENNARD ROAD, PORT ST. LUCIE, FL, 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407023054 | 2008-05-13 | 2008-05-13 | 2277 SE LENNARD RD, PORT ST LUCIE, FL, 349526889, US | 2277 SE LENNARD RD, PORT ST LUCIE, FL, 349526889, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 772-398-8899 |
| Fax | 7723983322 |
Authorized person
| Name | MS. TINA ROSE BASS |
| Role | ADMINISTRATOR |
| Phone | 7723988899 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL8585 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 679064000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CRARY, III LAWRENCE EEsq. | Agent | 759 SW FEDERAL HIGHWAY, STUART, FL, 34995 |
| Name | Role | Address |
|---|---|---|
| STODDARD WILLIAM J | Manager | 2277 SE LENNARD ROAD, PORT ST. LUCIE, FL, 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000113085 | PARADISE CARE COTTAGE | EXPIRED | 2013-11-18 | 2018-12-31 | No data | 2277 S E LENNARD ROAD, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-25 | 759 SW FEDERAL HIGHWAY, SUITE 106, STUART, FL 34995 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-25 | CRARY, III, LAWRENCE E., Esq. | No data |
| REINSTATEMENT | 2015-11-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2009-02-18 | 2277 SE LENNARD ROAD, PORT ST. LUCIE, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2009-02-18 | 2277 SE LENNARD ROAD, PORT ST. LUCIE, FL 34952 | No data |
| REINSTATEMENT | 2009-02-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-25 |
| REINSTATEMENT | 2015-11-25 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-01-16 |
| ANNUAL REPORT | 2012-02-28 |
| ANNUAL REPORT | 2011-04-26 |
| ANNUAL REPORT | 2010-03-05 |
| REINSTATEMENT | 2009-02-18 |
| ANNUAL REPORT | 2007-04-30 |
| ANNUAL REPORT | 2006-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
