Entity Name: | SUMMERVILLE AT WEKIWA SPRINGS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Foreign Limited Liability Co. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 11 Aug 2006 (19 years ago) |
Document Number: | M06000004440 |
FEI/EIN Number |
205360785
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 105 Westwood Place, Brentwood, TN, 37027, US |
Mail Address: | 105 Westwood Place, Brentwood, TN, 37027, US |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831309061 | 2007-05-23 | 2016-06-13 | 6737 W WASHINGTON ST STE 2300, MILWAUKEE, WI, 532145650, US | 203 SOUTH WEKIWA SPRINGS ROAD, APOPKA, FL, 32703, US | |||||||||||||||||||||||||||||
|
Phone | +1 414-918-5000 |
Fax | 2063014500 |
Phone | +1 407-889-7704 |
Fax | 4078893425 |
Authorized person
Name | BRYAN RICHARDSON |
Role | EVP, CHIEF ADMIN. OFFICER |
Phone | 6155648131 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | AL9829 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 0089458-00 |
State | FL |
Name | Role | Address |
---|---|---|
SUMMERVILLE SENIOR LIVING, INC. | Managing Member | - |
Baier Lucinda M | Chief Executive Officer | 111 Westwood Place, Brentwood, TN, 37027 |
White Chad C | Executive Vice President | 111 Westwood Place, Brentwood, TN, 37027 |
KUSSOW DAWN L | Executive Vice President | 111 Westwood Place, Brentwood, TN, 37027 |
RICCI BENJAMIN J | Director | 111 Westwood Place, Brentwood, TN, 37027 |
RICCI BENJAMIN J | Vice President | 111 Westwood Place, Brentwood, TN, 37027 |
CORPORATION SERVICE COMPANY | Agent | - |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000117585 | BROOKDALE WEKIWA SPRINGS | ACTIVE | 2014-11-21 | 2029-12-31 | - | 203 SOUTH WEKIWA SPRINGS ROAD, APOPKA, FL, 32703 |
G08149900039 | EMERITUS AT WEKIWA SPRINGS | EXPIRED | 2008-05-27 | 2013-12-31 | - | 3131 ELLIOTT AVENUE, SUITE 500, SEATTLE, WA, 98121 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-10-14 | 105 Westwood Place, Brentwood, TN 37027 | - |
CHANGE OF MAILING ADDRESS | 2024-10-14 | 105 Westwood Place, 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 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-28 |
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 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State