| Entity Name: | SCG LAURELLWOOD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Jun 2005 (20 years ago) |
| Date of dissolution: | 22 Mar 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 22 Mar 2022 (3 years ago) |
| Document Number: | L05000055151 |
| FEI/EIN Number | 20-2971254 |
| Address: | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 |
| Mail Address: | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 |
| ZIP code: | 33619 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871580894 | 2005-10-04 | 2008-07-31 | 3127 57TH AVE N, ST PETERSBURG, FL, 337141320, US | 3127 57TH AVE N, ST PETERSBURG, FL, 337141320, US | |||||||||||||||||||||||||
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| Phone | +1 727-527-2171 |
| Fax | 7275226929 |
Authorized person
| Name | MARK D KRAMER |
| Role | CEO |
| Phone | 8133412700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF11790962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE LICENSE NUMBER |
| Number | SNF11790962 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Vaughan, Michelle | Agent | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 |
| Name | Role | Address |
|---|---|---|
| SENIOR CARE GROUP, INC. | Manager | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000141184 | LAURELLWOOD NURSING CENTER | EXPIRED | 2009-07-31 | 2014-12-31 | No data | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL, 33619 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-02-20 | Vaughan, Michelle | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-03-29 | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 | No data |
| CHANGE OF MAILING ADDRESS | 2007-03-29 | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-03-29 | 1240 MARBELLA PLAZA DRIVE, TAMPA, FL 33619 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-03-22 |
| ANNUAL REPORT | 2018-02-20 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-01-13 |
| ANNUAL REPORT | 2015-01-23 |
| ANNUAL REPORT | 2014-04-11 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-02-02 |
| ANNUAL REPORT | 2011-02-23 |
| ANNUAL REPORT | 2010-01-06 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
