| Entity Name: | SENIOR LIVING MEMORY HEALTH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Mar 2016 (9 years ago) |
| Document Number: | P16000028893 |
| FEI/EIN Number | 81-2293401 |
| Address: | 2123 Plunkett Street, Hollywood, FL, 33020, US |
| Mail Address: | 2123 Plunkett Street, Hollywood, FL, 33020, US |
| ZIP code: | 33020 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851847834 | 2016-08-30 | 2016-08-30 | 1810 NE 118TH RD, NORTH MIAMI, FL, 331813311, US | 7091 W ATLANTIC AVENUE, MTC AT WEISMAN CENTER, DELRAY BEACH, FL, 33446, US | |||||||||||||||||||||
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| Phone | +1 786-414-6666 |
| Fax | 3054564124 |
| Phone | +1 561-558-2100 |
Authorized person
| Name | ELIZABETH BICKNELL |
| Role | DIRECTOR |
| Phone | 7864146666 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY5534 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BICKNELL ELIZABETH | Agent | 11111 Biscayne Blvd, NORTH MIAMI, FL, 33181 |
| Name | Role | Address |
|---|---|---|
| BICKNELL ELIZABETH | President | 11111 Biscayne Blvd, NORTH MIAMI, FL, 33181 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 2123 Plunkett Street, Hollywood, FL 33020 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 2123 Plunkett Street, Hollywood, FL 33020 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-24 | 11111 Biscayne Blvd, Suite PHC, NORTH MIAMI, FL 33181 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J20000097580 | TERMINATED | 1000000859573 | MIAMI-DADE | 2020-02-10 | 2030-02-12 | $ 529.99 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| J18000212944 | TERMINATED | 1000000782973 | DADE | 2018-05-23 | 2028-05-30 | $ 1,458.35 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, MIAMI SERVICE CENTER, 8175 NW 12TH ST STE 119, DORAL FL331261828 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-03-09 |
| Domestic Profit | 2016-03-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
