Entity Name: | BRADENTON HEALTH CARE ASSOCIATES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 30 Jul 2001 (23 years ago) |
Document Number: | L01000012550 |
FEI/EIN Number | 582639424 |
Mail Address: | 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US |
Address: | 6305 CORTEZ ROAD WEST, BRADENTON, FL, 34210, US |
ZIP code: | 34210 |
County: | Manatee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1366497018 | 2006-05-23 | 2012-08-02 | 6305 CORTEZ RD W, BRADENTON, FL, 342102604, US | 6305 CORTEZ RD W, BRADENTON, FL, 342102604, US | |||||||||||||||||||||||||
|
Phone | +1 941-761-3499 |
Fax | 9417618938 |
Authorized person
Name | STEVEN W. OELFKE |
Role | MANAGER |
Phone | 9417613499 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF130471011 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 025206900 |
State | FL |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
WELCH BREWIER W | Manager | 6305 CORTEZ ROAD WEST, BRADENTON, FL, 34210 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
MERGER | 2012-02-01 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131195. MERGER NUMBER 500000119915 |
AMENDED AND RESTATEDARTICLES | 2004-08-09 | No data | No data |
AMENDED AND RESTATEDARTICLES | 2004-04-01 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State