Entity Name: | TAMPA HEALTH CARE ASSOCIATES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Inactive |
Date Filed: | 30 Jul 2001 (23 years ago) |
Document Number: | L01000012582 |
FEI/EIN Number | 582639485 |
Mail Address: | 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US |
Address: | 2916 HABANA WAY, TAMPA, FL, 33614, US |
ZIP code: | 33614 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1003861204 | 2006-05-24 | 2012-08-10 | 2916 HABANA WAY, TAMPA, FL, 336147108, US | 2916 HABANA WAY, TAMPA, FL, 336147108, US | |||||||||||||||||||||||||
|
Phone | +1 813-876-5141 |
Fax | 8138765233 |
Authorized person
Name | KENNETH K. RAGIN |
Role | MANAGER |
Phone | 8138765141 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF15500962 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 025250600 |
State | FL |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
MURPHY ROBERT C | Manager | 2916 HABANA WAY, TAMPA, FL, 33614 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
MERGER | 2012-02-01 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131257. MERGER NUMBER 700000119897 |
AMENDED AND RESTATEDARTICLES | 2004-08-09 | No data | No data |
AMENDED AND RESTATEDARTICLES | 2004-04-07 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State