| Entity Name: | NEW LIFE ASSISTED LIVING INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 Jul 1998 (27 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 21 Oct 2004 (20 years ago) |
| Document Number: | P98000063295 |
| FEI/EIN Number | 650854941 |
| Address: | 2133 SE SHELTER DRIVE, PORT ST. LUCIE, FL, 34952 |
| Mail Address: | 2133 SE SHELTER DRIVE, PORT ST. LUCIE, FL, 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922433259 | 2013-09-05 | 2013-09-05 | 1301 WYOMING AVE, FORT PIERCE, FL, 349823645, US | 1301 WYOMING AVE, FORT PIERCE, FL, 34982, US | |||||||||||||||||||||||
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| Phone | +1 772-882-4293 |
Authorized person
| Name | ETHEL NEWTON |
| Role | OWNER |
| Phone | 7726266161 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| License Number | 11797 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 140680900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEWTON ETHER S | Agent | 2171 SE FLAGSTONE CT, PORT ST. LUCIE, FL, 34952 |
| Name | Role | Address |
|---|---|---|
| NEWTON ETHER S | President | 2171 SE FLAGSTONE CT, PORT ST. LUCIE, FL, 34952 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000105583 | NEW LIFE ASSISTED LIVING INC | EXPIRED | 2009-05-08 | 2014-12-31 | No data | 2133 SE SHELTER DR, PORT ST LUCIE, FL, 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2015-10-02 | NEWTON, ETHER SCALES | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-10-02 | 2171 SE FLAGSTONE CT, PORT ST. LUCIE, FL 34952 | No data |
| CANCEL ADM DISS/REV | 2004-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-04-18 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-06-17 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-27 |
| AMENDED ANNUAL REPORT | 2015-10-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
