| Entity Name: | EMERALD ASSISTED LIVING INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Mar 2023 (2 years ago) |
| Document Number: | P23000025799 |
| FEI/EIN Number | 92-3382145 |
| Mail Address: | 3512 JOSLIN WAY, MELBOURNE, FL, 32904 |
| Address: | 1150 WAYNE AVE, NEW SMYRNA Beach, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902660129 | 2024-02-08 | 2024-02-08 | 3512 JOSLIN WAY, WEST MELBOURNE, FL, 329048499, US | 1150 WAYNE AVE, NEW SMYRNA BEACH, FL, 321686132, US | |||||||||||||||||
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| Phone | +1 321-745-9000 |
| Phone | +1 386-428-3018 |
| Fax | 3864285017 |
Authorized person
| Name | MR. RONEL MERCADO |
| Role | ADMINISTRATOR |
| Phone | 3217459000 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MERCADO IRENE U | Agent | 3512 JOSLIN WAY, MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| MERCADO IRENE U | President | 3512 JOSLIN WAY, MELBOURNE, FL, 32904 |
| Name | Role | Address |
|---|---|---|
| MERCADO RONEL H | Secretary | 3512 JOSLIN WAY, MELBOURNE, FL, 32904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-23 | 1150 WAYNE AVE, NEW SMYRNA Beach, FL 32168 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-23 |
| Domestic Profit | 2023-03-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
