| Entity Name: | CYPRESS CREEK ASSISTED LIVING RESIDENCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Apr 1998 (27 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 17 Jul 2008 (17 years ago) |
| Document Number: | P98000037637 |
| FEI/EIN Number | 593526174 |
| Address: | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| Mail Address: | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| ZIP code: | 33573 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811324478 | 2013-09-27 | 2013-09-27 | 970 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736830, US | 970 CYPRESS VILLAGE BLVD, RUSKIN, FL, 335736830, US | |||||||||||||||||||||||||
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| Phone | +1 813-633-7777 |
Authorized person
| Name | JAMES BIGGINS |
| Role | PRESIDENT |
| Phone | 8136337777 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | AL9553 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 311500000X - Alzheimer Center (Dementia Center) |
| License Number | AL9553 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Golson W. Gregory | Agent | 17425 Bridge Hill Court, Tampa, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| BIGGINS JAMES J | President | 970 CYPRESS VILLAGE BLVD, RUSKIN, FL, 33573 |
| Name | Role | Address |
|---|---|---|
| BIGGINS KRISTIN | Vice President | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| BIGGINS MICHAEL | Vice President | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| BIGGINS KIMBERLY | Vice President | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| Name | Role | Address |
|---|---|---|
| BIGGINS KRISTIN | Treasurer | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| Name | Role | Address |
|---|---|---|
| BIGGINS KIMBERLY | Secretary | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL, 33573 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-02-09 | Golson, W. Gregory | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-09 | 17425 Bridge Hill Court, Suite 202, Tampa, FL 33647 | No data |
| AMENDMENT | 2008-07-17 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-09-08 | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL 33573 | No data |
| CHANGE OF MAILING ADDRESS | 2004-09-08 | 970 CYPRESS VILLAGE BLVD., RUSKIN, FL 33573 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| ANNUAL REPORT | 2023-02-09 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-03-04 |
| ANNUAL REPORT | 2019-03-01 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-03-19 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
