| Entity Name: | BREA SARASOTA 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: | M06000005365 |
| FEI/EIN Number |
273271041
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 111 WESTWOOD PLACE, BRENTWOOD, TN, 37027, US |
| Mail Address: | 111 WESTWOOD PLACE, BRENTWOOD, TN, 37027, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013041409 | 2007-03-15 | 2016-05-13 | 6737 W WASHINGTON ST, SUITE 2300, MILWAUKEE, WI, 532145647, US | 5501 SWIFT RD, SARASOTA, FL, 342316209, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-922-8778 |
| Fax | 9419210264 |
Authorized person
| Name | BRYAN RICHARDSON |
| Role | EVP, CHIEF ADMIN. OFFICER |
| Phone | 6155648131 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7102 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | AL7102 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 0103582-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| White Chad C | Manager | 111 WESTWOOD PLACE, BRENTWOOD, TN, 37027 |
| Baier Lucinda M | Chief Executive Officer | 111 WESTWOOD PLACE, BRENTWOOD, TN, 37027 |
| KUSSOW DAWN L | Chief Financial Officer | 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 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000012842 | BROOKDALE PHILLIPPI CREEK | ACTIVE | 2015-02-04 | 2025-12-31 | - | 5501 SWIFT ROAD, SARASOTA, FL, 34231 |
| G09106900232 | EMERITUS AT SARASOTA | EXPIRED | 2009-04-16 | 2014-12-31 | - | 3131 ELLIOTT AVE., SUITE 500, SEATTLE, WA, 98121 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-24 | 111 WESTWOOD PLACE, SUITE 400, BRENTWOOD, TN 37027 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-09-12 | 111 WESTWOOD PLACE, SUITE 400, BRENTWOOD, TN 37027 | - |
| 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
