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 |
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 | |||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role | Address |
---|---|---|
DENTICI TAMMY M | Manager | 1507 SOUTH TUTTLE AVE, SARASOTA, FL, 34239 |
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