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SUMMERVILLE AT WEKIWA SPRINGS LLC - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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 -

Fictitious Names

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

Events

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 -

Documents

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