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SUMMERVILLE AT OCALA WEST, LLC - Florida Company Profile

Company Details

Entity Name: SUMMERVILLE AT OCALA WEST, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 21 Jun 2005 (20 years ago)
Date of dissolution: 27 Sep 2024 (6 months ago)
Last Event: REVOKED FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (6 months ago)
Document Number: M05000003551
FEI/EIN Number 203014342

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 111 Westwood Place, Brentwood, TN, 37027, US
Mail Address: 111 Westwood Place, Suite 400, Brentwood, TN, 37027, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437369857 2007-05-23 2016-06-13 6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI, 532145650, US 9070 SOUTHWEST 80TH AVENUE, OCALA, FL, 34481, US

Contacts

Phone +1 414-918-5000
Fax 2063014500
Phone +1 352-861-4444
Fax 3528614445

Authorized person

Name BRYAN RICHARDSON
Role EVP, CHIEF ADMIN. OFFICER
Phone 6155648131

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL9441
State FL
Is Primary Yes
Taxonomy Code 311500000X - Alzheimer Center (Dementia Center)
License Number AL9441
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 0078764-00
State FL

Key Officers & Management

Name Role Address
Baier Lucinda M Chief Executive Officer 111 Westwood Place, Brentwood, TN, 37027
FISCHER LAURA E Director 111 Westwood Place, Brentwood, TN, 37027
FISCHER LAURA E Vice President 111 Westwood Place, Brentwood, TN, 37027
White Chad C Executive Vice President 111 Westwood Place, Brentwood, TN, 37027
KUSSOW DAWN L Chief Financial Officer 6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI, 53214
Leskowicz Joanne Secretary 6737 W Washington Street, MILWAUKEE, WI, 53214
Leskowicz Joanne Vice President 6737 W Washington Street, MILWAUKEE, WI, 53214
SUMMERVILLE SENIOR LIVING, INC. Managing Member -
CORPORATION SERVICE COMPANY Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G15000012703 BROOKDALE CANOPY OAKS ACTIVE 2015-02-04 2025-12-31 - 111 WESTWOOD PL STE 400, BRENTWOOD, TN, 37027
G08143900097 EMERITUS AT OCALA WEST EXPIRED 2008-05-21 2013-12-31 - 3131 ELLIOTT AVENUE, SUITE 500, SEATTLE, WA, 98121

Events

Event Type Filed Date Value Description
REVOKED FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2017-04-29 111 Westwood Place, Suite 400, Brentwood, TN 37027 -
CHANGE OF MAILING ADDRESS 2015-04-13 111 Westwood Place, Suite 400, Brentwood, TN 37027 -
REGISTERED AGENT NAME CHANGED 2007-09-07 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2007-09-07 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -

Documents

Name Date
ANNUAL REPORT 2023-04-24
ANNUAL REPORT 2022-04-20
ANNUAL REPORT 2021-04-26
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-04
ANNUAL REPORT 2015-04-13
ANNUAL REPORT 2014-04-27

Date of last update: 01 Mar 2025

Sources: Florida Department of State