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BREA SARASOTA LLC - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

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

Fictitious Names

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

Events

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 -

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