| Entity Name: | KINDRED DEVELOPMENT 17, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Jul 2008 (17 years ago) |
| Document Number: | L08000068063 |
| FEI/EIN Number | 20-3329727 |
| Address: | 680 South Fourth Street, Louisville, KY, 40202, US |
| Mail Address: | 680 South Fourth Street, Louisville, KY, 40202, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841886959 | 2020-12-14 | 2024-03-11 | 765 W NASA BLVD, MELBOURNE, FL, 329011815, US | 765 W NASA BLVD, MELBOURNE, FL, 329011815, US | |||||||||||||||||||||
|
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| Phone | +1 321-733-5725 |
| Fax | 3217335799 |
Authorized person
| Name | KATHY TEAGUE |
| Role | VICE PRESIDENT, CORPORATE SECRETARY |
| Phone | 6292535121 |
Taxonomy
| Taxonomy Code | 273Y00000X - Rehabilitation Hospital Unit |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HOSPITAL LICENSE |
| Number | 4501 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Bean Michael J | Manager | 680 South Fourth Street, Louisville, KY, 40202 |
| Teague Kathy | Manager | 680 South Fourth Street, Louisville, KY, 40202 |
| Graeser Scott | Manager | 680 South Fourth Street, Louisville, KY, 40202 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09061900133 | KINDRED HOSPITAL MELBOURNE | ACTIVE | 2009-03-02 | 2029-12-31 | No data | 680 SOUTH FOURTH STREET, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-27 | 680 South Fourth Street, Louisville, KY 40202 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-27 | 680 South Fourth Street, Louisville, KY 40202 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-03-18 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-04-02 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
