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BREA PALMER RANCH LLC - Florida Company Profile

Company Details

Entity Name: BREA PALMER RANCH 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: 28 Sep 2006 (18 years ago)
Document Number: M06000005364
FEI/EIN Number 20-5878436

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
1215350715 2014-02-04 2016-05-13 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI, 532145647, US 5111 PALMER RANCH PKWY, SARASOTA, FL, 342384477, US

Contacts

Phone +1 941-926-1966
Fax 9419212268

Authorized person

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

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
License Number AL9737
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
White Chad C Manager 111 Westwood Place, Brentwood, TN, 37027
Baier Lucinda M Chief Executive Officer 111 Westwood Place, Brentwood, TN, 37027
Kaestner H. T Manager 111 Westwood Place, Brentwood, TN, 37027
KUSSOW DAWN L Chief Financial Officer 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
G22000158807 BROOKDALE PALMER RANCH SNF ACTIVE 2022-12-23 2027-12-31 - 5111 PALMER BRANCH PARKWAY, SARASOTA, FL, 34238
G15000018359 BROOKDALE PALMER RANCH SNF EXPIRED 2015-02-19 2020-12-31 - 111 WESTWOOD PL STE 400, BRENTWOOD, TN, 37027
G15000012840 BROOKDALE PALMER RANCH ACTIVE 2015-02-04 2025-12-31 - 5111 PALMER RANCH PARKWAY, SARASOTA, FL, 34238
G14000005634 EMERITUS AT PALMER RANCH HEALTHCARE AND REHABILITATION EXPIRED 2014-01-15 2019-12-31 - 3131 ELLIOTT AVE STE 500, SEATTLE, WA, 98121

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-04-28 111 Westwood Place, Suite 400, Brentwood, TN 37027 -
CHANGE OF MAILING ADDRESS 2015-04-10 111 Westwood Place, Suite 400, Brentwood, TN 37027 -

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-04-22
ANNUAL REPORT 2022-04-19
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-25
ANNUAL REPORT 2017-04-28
ANNUAL REPORT 2016-04-02
ANNUAL REPORT 2015-04-10

Date of last update: 02 Mar 2025

Sources: Florida Department of State