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EMERALD OAKES HEALTH CARE ASSOCIATES, LLC

Company Details

Entity Name: EMERALD OAKES HEALTH CARE ASSOCIATES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 30 Jul 2001 (23 years ago)
Document Number: L01000012610
FEI/EIN Number 582639435
Mail Address: 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US
Address: 1507 SOUTH TUTTLE AVENUE, SARASOTA, FL, 34239, US
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1750337226 2006-05-26 2012-08-02 1507 S TUTTLE AVE, SARASOTA, FL, 342392608, US 1507 S TUTTLE AVE, SARASOTA, FL, 342392608, US

Contacts

Phone +1 941-366-0336
Fax 9413660440

Authorized person

Name TAMMY M. LOZEAU-DENTICI
Role MANAGER
Phone 9413660336

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF11420962
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 025218200
State FL

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
DENTICI TAMMY M Manager 1507 SOUTH TUTTLE AVE, SARASOTA, FL, 34239

Events

Event Type Filed Date Value Description
MERGER 2012-02-01 No data CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131306. MERGER NUMBER 300000119893
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