| Entity Name: | SERENITY MANOR ASSISTED LIVING, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Mar 2013 (12 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P13000021314 |
| FEI/EIN Number | 462223103 |
| Address: | 322 REGAL PARK DRIVE, VALRICO, FL, 33594, US |
| Mail Address: | 322 REGAL PARK DRIVE, VALRICO, FL, 33594, US |
| ZIP code: | 33594 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598106387 | 2013-07-10 | 2013-08-22 | 322 REGAL PARK DR., VALRICO, FL, 33594, US | 322 REGAL PARK DR., VALRICO, FL, 33594, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 813-965-3748 |
Authorized person
| Name | MS. TENEMA RACHAE ANDERSON |
| Role | ADMINISTRATOR |
| Phone | 8139653748 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL1196 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL10571 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON TENEMA R | Agent | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| ANDERSON TENEMA | President | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| ANDERSON TENEMA | Director | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| ANDERSON TENEMA | Secretary | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| BLAKE CHARIETHA | Vice President | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Name | Role | Address |
|---|---|---|
| BLAKE CHARIETHA | Treasurer | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000112571 | SERENITY MANOR ASSISTED LIVING, INC. | EXPIRED | 2014-11-07 | 2019-12-31 | No data | 322 REGAL PARK DR., VALRICO, FL, 33594 |
| G13000106325 | SERENITY MANOR AGENCY | EXPIRED | 2013-10-29 | 2018-12-31 | No data | 322 REGAL PARK DRIVE, VALRICO, FL, 33594 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REINSTATEMENT | 2014-11-06 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-11-06 | ANDERSON, TENEMA R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-07-10 | 322 REGAL PARK DRIVE, VALRICO, FL 33594 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-10 | 322 REGAL PARK DRIVE, VALRICO, FL 33594 | No data |
| CHANGE OF MAILING ADDRESS | 2013-07-10 | 322 REGAL PARK DRIVE, VALRICO, FL 33594 | No data |
| AMENDMENT | 2013-07-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-04-24 |
| REINSTATEMENT | 2014-11-06 |
| Amendment | 2013-07-10 |
| Domestic Profit | 2013-03-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
