| Entity Name: | CABOT COVE ASSISTED LIVING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Jun 2012 (13 years ago) |
| Document Number: | M12000003570 |
| FEI/EIN Number | 45-5589117 |
| Address: | 455 Belcher Rd. South, Largo, FL, 33771, US |
| Mail Address: | 810 Boardman Canfield Rd., Suite 4A, Boardman, OH, 44512, US |
| ZIP code: | 33771 |
| County: | Pinellas |
| Place of Formation: | OHIO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619394368 | 2014-03-19 | 2021-12-17 | 455 BELCHER RD S, LARGO, FL, 337715522, US | 455 BELCHER RD S, LARGO, FL, 337715522, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-539-1200 |
| Fax | 7272862985 |
Authorized person
| Name | MR. JOSEPH J VINCE |
| Role | CFO |
| Phone | 3305019863 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10249 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 11215500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEPIZZO JOHN A | Agent | 455 Belcher Rd. South, Largo, FL, 33771 |
| Name | Role | Address |
|---|---|---|
| DEPIZZO JOHN AJr | Manager | 810 Boardman Canfield Rd,, Youngstown, OH, 44512 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-08-18 | 455 Belcher Rd. South, Largo, FL 33771 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-01-20 | 455 Belcher Rd. South, Largo, FL 33771 | No data |
| CHANGE OF MAILING ADDRESS | 2020-01-20 | 455 Belcher Rd. South, Largo, FL 33771 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-10-07 | DEPIZZO, JOHN A | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13001787218 | TERMINATED | 1000000553237 | PINELLAS | 2013-11-06 | 2023-12-26 | $ 300.88 | STATE OF FLORIDA0014082 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-20 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-29 |
| AMENDED ANNUAL REPORT | 2020-08-18 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-04-27 |
| ANNUAL REPORT | 2016-04-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
