| Entity Name: | SERENITY RANCH ASSISTED LIVING HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Dec 2008 (16 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P08000105856 |
| FEI/EIN Number | 263806889 |
| Address: | 12475 SW 58TH STREET, SW RANCHES, FL, 33330, US |
| Mail Address: | 12475 SW 58TH STREET, SW RANCHES, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861827131 | 2013-09-05 | 2013-09-05 | 12475 SW 58TH STREET, SOUTHWEST RANCHES, FL, 33330, US | 12475 SW 58TH ST, SOUTHWEST RANCHES, FL, 333303201, US | |||||||||||||||||||
|
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| Phone | +1 954-533-9184 |
| Fax | 9545339187 |
Authorized person
| Name | LUANN MASSA SAMUELSON |
| Role | OWNER/ADMINISTRATOR |
| Phone | 9544782310 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL11718 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAMUELSON LUANN | Agent | 12475 SW 58TH STREET, SW RANCHES, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| SAMUELSON LUANN | President | 12475 SW 58TH STREET, SW RANCHES, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-27 | 12475 SW 58TH STREET, SW RANCHES, FL 33330 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-01-10 |
| ANNUAL REPORT | 2013-01-26 |
| ANNUAL REPORT | 2012-02-14 |
| ANNUAL REPORT | 2011-01-27 |
| ANNUAL REPORT | 2010-01-10 |
| ANNUAL REPORT | 2009-06-23 |
| Domestic Profit | 2008-12-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
