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LAKE WALES HEALTH CARE OPERATIONS COMPANY, LLC

Company Details

Entity Name: LAKE WALES HEALTH CARE OPERATIONS COMPANY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 08 Sep 2005 (19 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 18 Jun 2015 (10 years ago)
Document Number: L05000088745
FEI/EIN Number 20-3616834
Address: 701 OVERLOOK DR., SE, WINTER HAVEN, FL 33884
Mail Address: 1800 N WABASH, SUITE 300, MARION, IN 46952
ZIP code: 33884
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245547868 2010-09-02 2010-10-01 701 OVERLOOK DR, WINTER HAVEN, FL, 338841671, US 701 OVERLOOK DR, WINTER HAVEN, FL, 338841671, US

Contacts

Phone +1 863-318-5000

Authorized person

Name MR. DWIGHT A OTT
Role SECRETARY/TREASURER
Phone 7656645400

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
Lanham, Steve Agent 27177 Cooper Creek Court, Wesley Chapel, FL 33544

Authorized Member

Name Role Address
OTT, DWIGHT A Authorized Member 1800 N WABASH RD, MARION, IN 46952
OTT, GARY L Authorized Member 1800 N WABASH RD, MARION, IN 46952
OTT, RYAN M Authorized Member 1800 N Wabash Rd, Marion, IN 46952

Secretary

Name Role Address
OTT, DWIGHT A Secretary 1800 N WABASH RD, MARION, IN 46952

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000137747 ASTORIA ASSISTED RETIREMENT LIVING ACTIVE 2020-10-23 2025-12-31 No data 1800 N WABASH RD, MARION, IN, 46952
G20000137751 ASTORIA SENIOR LIVING ACTIVE 2020-10-23 2025-12-31 No data 1800 N WABASH RD, MARION, IN, 46952
G09000173545 BELLATAGE ASSISTED LIVING EXPIRED 2009-11-09 2024-12-31 No data 701 OVERLOOK DRIVE, WINTER HAVEN, FL, 33884
G09000173553 ASTORIA HEALTH AND REHABILITATION CENTER ACTIVE 2009-11-09 2029-12-31 No data 701 OVERLOOK DRIVE, WINTER HAVEN, FL, 33884
G09000173549 THE VILLAGE AT VIENNA SQUARE EXPIRED 2009-11-09 2024-12-31 No data 701 OVERLOOK DRIVE, WINTER HAVEN, FL, 33884

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2019-02-27 27177 Cooper Creek Court, Wesley Chapel, FL 33544 No data
REGISTERED AGENT NAME CHANGED 2019-02-27 Lanham, Steve No data
LC AMENDMENT 2015-06-18 No data No data
CHANGE OF MAILING ADDRESS 2009-11-03 701 OVERLOOK DR., SE, WINTER HAVEN, FL 33884 No data
CANCEL ADM DISS/REV 2009-11-03 No data No data
CHANGE OF PRINCIPAL ADDRESS 2009-11-03 701 OVERLOOK DR., SE, WINTER HAVEN, FL 33884 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2009-09-25 No data No data
CANCEL ADM DISS/REV 2007-07-09 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2006-09-15 No data No data

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-01-16
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-06
ANNUAL REPORT 2017-03-01
ANNUAL REPORT 2016-03-09
LC Amendment 2015-06-18

Date of last update: 04 Jan 2025

Sources: Florida Department of State