| Entity Name: | SUNRISE ADULT CARE INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jun 2002 (23 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 24 May 2010 (15 years ago) |
| Document Number: | P02000068374 |
| FEI/EIN Number | 650471539 |
| Address: | 4102 COOLEY COURT, LAKE WORTH, FL, 33461 |
| Mail Address: | 4102 COOLEY COURT, LAKE WORTH, FL, 33461 |
| ZIP code: | 33461 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205242989 | 2014-07-02 | 2015-01-05 | 4102 COOLEY CT, LAKE WORTH, FL, 334614312, US | 4102 COOLEY CT, LAKE WORTH, FL, 334614312, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-967-2287 |
| Fax | 5612491394 |
Authorized person
| Name | MR. JAMES E HANNAH II |
| Role | ADMINISTRATOR/OWNER |
| Phone | 5617230671 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL8286 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012434900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HANNAH JAMES E | Agent | 4102 COOLEY COURT, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| HANNAH JAMES E | Director | 4102 COOLEY CT, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| HANNAH JAMES E | President | 4102 COOLEY CT, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| HANNAH JAMES E | Treasurer | 4102 COOLEY CT, LAKE WORTH, FL, 33461 |
| Name | Role | Address |
|---|---|---|
| HANNAH JAMES E | Secretary | 4102 COOLEY CT, LAKE WORTH, FL, 33461 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2010-05-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| ANNUAL REPORT | 2023-03-21 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-03-09 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
