| Entity Name: | FLORIDA SHORES OF MELBOURNE ASSISTED LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Jul 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 14 Oct 2005 (19 years ago) |
| Document Number: | P04000108907 |
| FEI/EIN Number | 010817974 |
| Address: | 2155 KEYSTONE AVENUE, WEST MELBOURNE, FL, 32904 |
| Mail Address: | 2155 KEYSTONE AVENUE, WEST MELBOURNE, FL, 32904 |
| ZIP code: | 32904 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710229976 | 2013-03-26 | 2017-04-06 | 2155 KEYSTONE AVE, MELBOURNE, FL, 329046146, US | 2155 KEYSTONE AVE, MELBOURNE, FL, 329046146, US | |||||||||||||||||||
|
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| Phone | +1 646-541-5552 |
| Fax | 3219510896 |
Authorized person
| Name | MR. IRENE MERCADO |
| Role | SECRETARY |
| Phone | 6465415552 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL7324 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MERCADO RONEL | Agent | 2155 KEYSTONE AVE., MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| MERCADO RONEL | President | 2155 KEYSTONE AVE., MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| MERCADO RONEL | Director | 2155 KEYSTONE AVE., MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| MERCADO IRENE | Secretary | 2155 KEYSTONE AVENUE, WEST MELBOURNE, FL, 32904 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000075268 | FLORIDA SHORES OF MELBOURNE 1 ALF | ACTIVE | 2018-07-10 | 2028-12-31 | No data | 2155 KEYSTONE AVE., MELBOURNE, FL, 32904 |
| G06324700181 | SMILES AND LOVING CARE ASSISTED LIVING FACILITY | ACTIVE | 2006-11-20 | 2026-12-31 | No data | 2155 KEYSTONE AVE, MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2006-04-28 | 2155 KEYSTONE AVE., MELBOURNE, FL 32904 | No data |
| CANCEL ADM DISS/REV | 2005-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-03-13 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-03-13 |
| ANNUAL REPORT | 2016-03-04 |
| ANNUAL REPORT | 2015-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
