| Entity Name: | ORANGE PARK EXTENDED CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ORANGE PARK EXTENDED CARE 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 17 Mar 2003 (22 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L03000009509 |
| FEI/EIN Number |
200739986
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 480 Fentress Blvd., Daytona beach, FL, 32114, US |
| Mail Address: | 480 Fentress Blvd., Daytona beach, FL, 32114, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205805421 | 2006-03-17 | 2012-06-12 | 1125 FLEMING PLANTATION BLVD, FLEMING ISLAND, FL, 320033389, US | 1125 FLEMING PLANTATION BLVD, ORANGE PARK, FL, 320033389, US | |||||||||||||||||||||||||||
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| Phone | +1 904-541-3500 |
| Fax | 9042138338 |
| Phone | +1 904-245-7620 |
Authorized person
| Name | MS. DONNA J. MARSH |
| Role | BOOKKEEPER |
| Phone | 3862551054 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 130471035 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028478500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Bengio Jacob | Agent | 390 NE 135th Street Miami, FL 33161, Miami, FL, 33161 |
| DVAR TOVE, LLC | Manager | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-25 | 390 NE 135th Street Miami, FL 33161, Miami, FL 33161 | - |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 480 Fentress Blvd., Suite H, Daytona beach, FL 32114 | - |
| REGISTERED AGENT NAME CHANGED | 2017-03-21 | Bengio, Jacob | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-16 | 480 Fentress Blvd., Suite H, Daytona beach, FL 32114 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-29 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-02-16 |
| ANNUAL REPORT | 2014-04-20 |
| ANNUAL REPORT | 2013-03-20 |
| ANNUAL REPORT | 2012-04-09 |
| ANNUAL REPORT | 2011-04-18 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
