| Entity Name: | "SANTA SUSANA. ALF.INC" |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Nov 2013 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Oct 2015 (9 years ago) |
| Document Number: | P13000091497 |
| FEI/EIN Number | 46-4079316 |
| Address: | 11407 LARKWOOD WAY, TAMPA, FL, 33625, US |
| Mail Address: | 11407 LARKWOOD WAY, TAMPA, FL, 33625, US |
| ZIP code: | 33625 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609271519 | 2014-11-04 | 2014-11-04 | 11407 LARKWOOD WAY, TAMPA, FL, 336255608, US | 11407 LARKWOOD WAY, TAMPA, FL, 336255608, US | |||||||||||||||||||
|
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| Phone | +1 813-962-5741 |
| Fax | 8139625741 |
Authorized person
| Name | DEIBY R JACINTO |
| Role | OWNER/ADMINISTRATION |
| Phone | 8135410093 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL12568 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RIVERO-ANTUNEZ DAYRON | Agent | 11407 LARKWOOD WAY, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| RIVERO-ANTUNEZ DAYRON | President | 11407 LARKWOOD WAY, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| VIAMONTES-ARCE MAIDELYN | Vice President | 11407 LARKWOOD WAY, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-04-12 | RIVERO-ANTUNEZ, DAYRON | No data |
| REINSTATEMENT | 2015-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| AMENDED ANNUAL REPORT | 2023-05-18 |
| AMENDED ANNUAL REPORT | 2023-04-12 |
| AMENDED ANNUAL REPORT | 2023-01-06 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-02-08 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
