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BRADENTON HEALTH CARE ASSOCIATES, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
WELCH BREWIER W Manager 6305 CORTEZ ROAD WEST, BRADENTON, FL, 34210

Events

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