Entity Name: | SUNNYSIDE PROPERTIES OF SARASOTA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Non-Profit |
Status: | Active |
Date Filed: | 15 Mar 1977 (48 years ago) |
Document Number: | 738352 |
FEI/EIN Number | 591751316 |
Address: | 5201 BAHIA VISTA, SARASOTA, FL, 34232-2615, US |
Mail Address: | 5201 BAHIA VISTA, SARASOTA, FL, 34232-2615, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780688739 | 2005-06-08 | 2015-10-05 | 5201 BAHIA VISTA ST, SARASOTA, FL, 342322615, US | 5201 BAHIA VISTA ST, SARASOTA, FL, 342322615, US | |||||||||||||||||||||||||
|
Phone | +1 941-371-2729 |
Fax | 9413789728 |
Authorized person
Name | MR. J DAVID YODER |
Role | CHIEF EXECUTIVE OFFICER |
Phone | 9413712750 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF1535096 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 020271100 |
State | FL |
Name | Role | Address |
---|---|---|
RASSLER MICHELLE | Agent | 5201 BAHIA VISTA ST., SARASOTA, FL, 34232 |
Name | Role | Address |
---|---|---|
ANDERSON MICHELLE | Director | 5760 BAHIA VISTA STREET, SARASOTA, FL, 34232 |
PURNELL KJELL | Director | 5636 Whitehead Street, BRADENTON, FL, 34203 |
EBERSOLE BETH | Director | 1037 TARA VISTA DRIVE, SARASOTA, FL, 34232 |
KORNHAUS CHERYL | Director | 12814 Crystal Clear Place, BRADENTON, FL, 34211 |
HARRIS WADE | Director | 3352 HIGHLANDS BRIDGE ROAD, SARASOTA, FL, 34235 |
Name | Role | Address |
---|---|---|
RASSLER MICHELLE | Chief Executive Officer | 5201 BAHIA VISTA, SARASOTA, FL, 342322615 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G13000024198 | SUNNYSIDE VILLAGE | ACTIVE | 2013-03-11 | 2028-12-31 | No data | 5201 BAHIA VISTA ST, SARASOTA, FL, 34232 |
G13000024204 | SUNNYSIDE HEALTH AND REHABILITATION CENTER | ACTIVE | 2013-03-11 | 2028-12-31 | No data | 5201 BAHIA VISTA STREET, SARASOTA, FL, 34232 |
G13000024207 | SUNNYSIDE NURSING HOME | EXPIRED | 2013-03-11 | 2018-12-31 | No data | 5201 BAHIA VISTA ST, SARASOTA, FL, 34232 |
G02210900383 | SUNNYSIDE VILLAGE | ACTIVE | 2002-07-30 | 2027-12-31 | No data | 5201 BAHIA VISTA STREET, SARASOTA, FL, 34232 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2019-01-17 | No data | No data |
AMENDMENT | 2010-10-12 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State