| Entity Name: | SURREY PLACE OF BRADENTON, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
SURREY PLACE OF BRADENTON, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 19 Apr 2002 (23 years ago) |
| Document Number: | L02000009432 |
| FEI/EIN Number |
611413324
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL, 32308, US |
| Mail Address: | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL, 32308, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518968288 | 2005-08-03 | 2014-03-18 | 2123 CENTRE POINTE BLVD, TALLAHASSEE, FL, 323084930, US | 5525 21ST AVE W, BRADENTON, FL, 342095601, US | |||||||||||||||||||||||||||
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| Phone | +1 850-386-2831 |
| Fax | 8503862016 |
| Phone | +1 941-795-0448 |
| Fax | 9417574295 |
Authorized person
| Name | MR. JOSEPH D. MITCHELL |
| Role | PRESIDENT |
| Phone | 8503862831 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025627700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MITCHELL JOSEPH D | Manager | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL, 32308 |
| DAVIS ALAN G | Manager | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL, 32308 |
| HANEY MARK T | Agent | 1656 METROPOLITAN CIRCLE, TALLAHASSEE, FL, 32308 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G07025900109 | SURREY PLACE HEALTHCARE AND REHABILITATION | ACTIVE | 2007-01-25 | 2027-12-31 | - | 5525 21ST AVENUE WEST, BRADENTON, FL, 34209 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-08-01 | HANEY, MARK T | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-01 | 1656 METROPOLITAN CIRCLE, TALLAHASSEE, FL 32308 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-13 | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL 32308 | - |
| CHANGE OF MAILING ADDRESS | 2014-03-13 | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL 32308 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-20 |
| AMENDED ANNUAL REPORT | 2023-08-01 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-30 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-04 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7168918401 | 2021-02-11 | 0455 | PPP | 5525 21st Ave W, Bradenton, FL, 34209-5601 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 May 2025
Sources: Florida Department of State
