| Entity Name: | LCS STERLING AVENTURA TENANT LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Jul 2021 (4 years ago) |
| Document Number: | M21000009438 |
| FEI/EIN Number | 87-1581607 |
| Address: | 400 LOCUST STREET, SUITE 820, DES MOINES, IA 50309 |
| Mail Address: | 400 LOCUST STREET, SUITE 820, DES MOINES, IA 50309 |
| Place of Formation: | IOWA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750057238 | 2021-08-17 | 2021-08-17 | 400 LOCUST ST STE 820, DES MOINES, IA, 503092334, US | 2777 NE 1834 ST., AVENTURA, FL, 331606009, US | |||||||||||||||||||
|
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| Phone | +1 515-875-4500 |
Authorized person
| Name | JOEL NELSON |
| Role | PRESIDENT & CEO |
| Phone | 5158754500 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106675500 |
| State | FL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| VICTOR, JASON | Manager | 400 LOCUST STREET, SUITE 820, DES MOINES, IA 50309 |
| SHAW, GELYNNA | Manager | 400 LOCUST STREET, SUITE 820, DES MOINES, IA 50309 |
| BIRD, CHRIS | Manager | 400 LOCUST STREET, SUITE 820, DES MOINES, IA 50309 |
| UHLEMANN, BRIDGETTE C. | Manager | 400 LOCUST STREET, SUITE 820 DES MOINES, IA 50309 |
| Name | Role | Address |
|---|---|---|
| LAHEY, DANIEL L. | MANAGER | 400 LOCUST STREET, SUITE 820, DES MOINES, IA 50309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000111833 | THE STERLING AVENTURA | ACTIVE | 2021-08-30 | 2026-12-31 | No data | 400 LOCUST STREET, SUITE 820, DES MOINES, IA, 50309 |
| G21000100125 | STERLING AVENTURA | ACTIVE | 2021-08-02 | 2026-12-31 | No data | 400 LOCUST STREET, SUITE 820, DES MOINES, IA, 50309 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-06 |
| Foreign Limited | 2021-07-19 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
