| Entity Name: | OSCEOLA KISSIMMEE LIMITED PARTNERSHIP |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Limited Partnership |
| Status: | Inactive |
| Date Filed: | 21 May 2001 (24 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | A01000000697 |
| FEI/EIN Number | 593705896 |
| Mail Address: | PO BOX 530787, DEBARY, FL, 32753 |
| Address: | 221 PARK PLACE BOULEVARD, KISSIMMEE, FL, 34741 |
| ZIP code: | 34741 |
| County: | Osceola |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033193008 | 2005-12-02 | 2012-05-08 | 221 PARK PLACE BLVD, KISSIMMEE, FL, 347412345, US | 221 PARK PLACE BLVD, KISSIMMEE, FL, 347412345, US | |||||||||||||||||||||||||
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| Phone | +1 407-935-0200 |
| Fax | 4079350953 |
Authorized person
| Name | MR. VERN PATRICK HERZOG |
| Role | PRESIDENT |
| Phone | 3869566956 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF14850951 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025342100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND RD, PLANTATION, FL, 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-04 | 221 PARK PLACE BOULEVARD, KISSIMMEE, FL 34741 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-07-17 | 1200 SOUTH PINE ISLAND RD, PLANTATION, FL 33324 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-07-17 | CT CORPORATION SYSTEM | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-01-12 | 221 PARK PLACE BOULEVARD, KISSIMMEE, FL 34741 | No data |
| AMENDMENT | 2004-12-28 | No data | No data |
| AMENDMENT | 2004-03-29 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-03-24 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-03-10 |
| ANNUAL REPORT | 2014-04-03 |
| ANNUAL REPORT | 2013-03-12 |
| ANNUAL REPORT | 2012-02-29 |
| ANNUAL REPORT | 2011-03-04 |
| ANNUAL REPORT | 2010-03-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
