| Entity Name: | LAKELAND INVESTORS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 May 2003 (22 years ago) |
| Document Number: | L03000015912 |
| FEI/EIN Number | 582670679 |
| 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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720089394 | 2005-08-04 | 2022-01-11 | 2123 CENTRE POINTE BLVD, TALLAHASSEE, FL, 323084930, US | 1350 SLEEPY HILL RD, LAKELAND, FL, 338103800, US | |||||||||||||||||||||||||||
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| Phone | +1 850-386-2831 |
| Fax | 8503862016 |
| Phone | +1 863-858-4402 |
| Fax | 8638586759 |
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 | 026556000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HANEY MARK T | Agent | 1656 METROPOLITAN CIRCLE, TALLAHASSEE, FL, 32308 |
| Name | Role |
|---|---|
| LAKELAND HOLDING COMPANY, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000171279 | VALENCIA HILLS HEALTH AND REHABILITATION CENTER | ACTIVE | 2009-11-03 | 2029-12-31 | No data | 1350 SLEEPY HILL ROAD, LAKELAND, FL, 33810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-08-01 | HANEY, MARK T | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-08-01 | 1656 METROPOLITAN CIRCLE, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-31 | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2014-03-31 | 2123 CENTRE POINTE BLVD., TALLAHASSEE, FL 32308 | No data |
| 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 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24825N0286 | 2025-01-01 | 2025-12-31 | 2025-12-31 | |||||||||||||||||||||||||
|
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| Obligated Amount | 860000.00 |
| Current Award Amount | 860000.00 |
| Potential Award Amount | 860000.00 |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | LAKELAND INVESTORS LLC |
| UEI | GNHKMN5A1G28 |
| Recipient Address | UNITED STATES, 1350 SLEEPY HILL RD, LAKELAND, POLK, FLORIDA, 338103800 |
| Unique Award Key | CONT_IDV_36C24822D0033_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 0.00 |
| Potential Award Amount | 4300000.00 |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | LAKELAND INVESTORS LLC |
| UEI | GNHKMN5A1G28 |
| Recipient Address | UNITED STATES, 1350 SLEEPY HILL RD, LAKELAND, POLK, FLORIDA, 338103800 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
