| Entity Name: | PLAZA OF PEMBROKE ALF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jul 2017 (8 years ago) |
| Document Number: | M17000006253 |
| FEI/EIN Number | 30-0997768 |
| Mail Address: | 1780 Polk St, FL 11, Hollywood, FL 33020 |
| Address: | 3535 SW 52nd Ave, Pembroke Park, FL 33023 |
| ZIP code: | 33023 |
| County: | Broward |
| Place of Formation: | NEVADA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1144749771 | 2017-09-14 | 2017-09-14 | 3535 SW 52ND AVE, PEMBROKE PARK, FL, 330235420, US | 3535 SW 52ND AVE, PEMBROKE PARK, FL, 330235420, US | |||||||||||||||||||||||
|
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| Phone | +1 954-961-8111 |
Authorized person
| Name | ZEVI KOHN |
| Role | MEMBER |
| Phone | 7183382999 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 5120 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALF |
| Number | 5120 |
| State | FL |
| Name | Role |
|---|---|
| VSTATE FILINGS LLC | Agent |
| Name | Role |
|---|---|
| PLAZA OF PEMBROKE HOLDINGS LLC | MANAGING MEMBER |
| Name | Role | Address |
|---|---|---|
| WOZNIAK, DAWN | Authorized Representative | 10150 HIGHLAND MANOR DR., #300 TAMPA, FL 33610 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000024404 | PLAZA OF HALLANDALE BEACH | ACTIVE | 2023-02-21 | 2028-12-31 | No data | 1780 POLK STREET, 11TH FLOOR, HOLLYWOOD, FL, 33020 |
| G17000082316 | PLAZA OF PEMBROKE ALF LLC | EXPIRED | 2017-08-01 | 2022-12-31 | No data | 2071 FLATBUSH AVE STE 32, BROOKLYN, NY, 11234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-08 | 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 3535 SW 52nd Ave, Pembroke Park, FL 33023 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 3535 SW 52nd Ave, Pembroke Park, FL 33023 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-04-18 |
| Foreign Limited | 2017-07-24 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
