Entity Name: | BLC WELLINGTON-SEA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: | Inactive |
Date Filed: | 30 Jan 2006 (19 years ago) |
Date of dissolution: | 21 Jul 2010 (15 years ago) |
Last Event: | LC WITHDRAWAL |
Event Date Filed: | 21 Jul 2010 (15 years ago) |
Document Number: | M06000000540 |
FEI/EIN Number | 204228044 |
Address: | 111 WESTWOOD PLACE, SUITE 200, BRENTWOOD, TN, 37027 |
Mail Address: | 330 N. WABASH AVENUE STE 1400, CHICAGO, IL, 60611 |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1013073774 | 2006-12-28 | 2008-06-13 | 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI, 532145647, US | 1050 OCEAN SHORE BLVD, ORMOND BEACH, FL, 321764126, US | |||||||||||||||||||
|
Phone | +1 386-441-1771 |
Authorized person
Name | MARK OHLENDORF |
Role | CO-PRESIDENT |
Phone | 4149185000 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 690816100 |
State | FL |
Name | Role | Address |
---|---|---|
RIJOS JOHN R | Manager | 330 N. WABASH AVENUE STE 1400, CHICAGO, IL, 60611 |
OHLENDORF MARK W | Manager | 6737 W WASHINGTON STE 2300, MILWAUKEE, WI, 53214 |
SHERIFF W.E. | Manager | 111 WESTWOOD PL #200, BRENTWOOD, TN, 37027 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC WITHDRAWAL | 2010-07-21 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2010-04-20 | 111 WESTWOOD PLACE, SUITE 200, BRENTWOOD, TN 37027 | No data |
Name | Date |
---|---|
LC Withdrawal | 2010-07-21 |
ANNUAL REPORT | 2010-04-20 |
ANNUAL REPORT | 2009-04-20 |
ANNUAL REPORT | 2008-04-15 |
ANNUAL REPORT | 2007-04-23 |
Foreign Limited | 2006-01-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State