| Entity Name: | TAPESTRY TALLAHASSEE WALDEN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Feb 2017 (8 years ago) |
| Document Number: | M17000001095 |
| FEI/EIN Number | 814266060 |
| Address: | 2001 KILLEBREW DRIVE STE 100, BLOOMINGTON, MN, 55105, US |
| Mail Address: | 2001 KILLEBREW DRIVE STE 100, BLOOMINGTON, MN, 55105, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598243016 | 2018-08-06 | 2018-08-06 | 2001 KILLEBREW DR STE 100, MINNEAPOLIS, MN, 554251884, US | 3080 WALDEN RD, TALLAHASSEE, FL, 323177905, US | |||||||||||||||||||||||||||||
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| Phone | +1 952-854-8800 |
| Fax | 9528544434 |
| Phone | +1 850-688-1234 |
| Fax | 8503090332 |
Authorized person
| Name | TERESA PAWLINA |
| Role | PRESIDENT/AUTHORIZED REPRESENTATIVE |
| Phone | 9528548800 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL13190 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AGENCY FOR HEALTH CARE ADMINISTRATION ASSISTED LIVING FACILITY |
| Number | AL13190 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARACORP INC | Agent | 155 OFFICE PLAZA DRIVE FIRST FLOOR, TALLAHASSEE, FL, 32301 |
| Name | Role | Address |
|---|---|---|
| LASALLE THOMAS W | Chief Executive Officer | 2001 KILLEBREW DRIVE STE 100, BLOOMINGTON, MN, 55425 |
| Name | Role | Address |
|---|---|---|
| Larrin Christyl | Cont | 2001 KILLEBREW DRIVE STE 100, BLOOMINGTON, MN, 55105 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000044741 | TAPESTRY SENIOR LIVING TALLAHASSEE WALDEN | EXPIRED | 2018-04-06 | 2023-12-31 | No data | TAPESTRY SENIOR LIVING WALDEN, TALLAHASSEE, FL, 32317 |
| G18000040301 | TAPESTRY SENIOR LIVING OF WALDEN | EXPIRED | 2018-03-27 | 2023-12-31 | No data | TAPESTRY SENIOR LIVING WALDEN, 3080 WALDEN ROAD, TALLAHASSEE, FL, 32317 |
| G18000040320 | TAPESTRY SENIOR LIVING WALDEN | EXPIRED | 2018-03-27 | 2023-12-31 | No data | TAPESTRY SENIOR LIVING WALDEN, 3080 WALDEN ROAD, TALLAHASSEE, FL, 32317 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-01-10 |
| Foreign Limited | 2017-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
