| Entity Name: | CARRINGTON PLACE OF ST PETE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 13 Jun 2005 (20 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | L05000057932 |
| FEI/EIN Number | 20-3009069 |
| Address: | 24641 US HWY 19 N, CLEARWATER, FL 33763 |
| Mail Address: | 24641 US HWY 19 N, CLEARWATER, FL 33763 |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013963842 | 2006-05-25 | 2012-11-07 | 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, FL, 337163816, US | 10501 ROOSEVELT BLVD N, SAINT PETERSBURG, FL, 337163816, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 727-577-3800 |
| Fax | 7275778969 |
Authorized person
| Name | MS. LYNDA S HEBBELN |
| Role | CFO |
| Phone | 7277233000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 10760961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031552400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ATKINS, BEN | Agent | 24641 US HWY 19 N, CLEARWATER, FL 33763 |
| Name | Role | Address |
|---|---|---|
| ATKINS, BEN | Managing Member | 24641 US HWY 19 N, CLEARWATER, FL 33763 |
| MORRISON, MARYA | Managing Member | 24641 US HWY 19 N, CLEARWATER, FL 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-02-14 | 24641 US HWY 19 N, CLEARWATER, FL 33763 | No data |
| CHANGE OF MAILING ADDRESS | 2011-02-14 | 24641 US HWY 19 N, CLEARWATER, FL 33763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-14 | 24641 US HWY 19 N, CLEARWATER, FL 33763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-02-14 |
| ANNUAL REPORT | 2010-03-30 |
| ANNUAL REPORT | 2009-01-05 |
| ANNUAL REPORT | 2008-01-21 |
| ANNUAL REPORT | 2007-02-05 |
| ANNUAL REPORT | 2006-01-11 |
| Florida Limited Liability | 2005-06-13 |
Date of last update: 04 Jan 2025
Sources: Florida Department of State
