| Entity Name: | GULFSIDE PALLIATIVE CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Aug 2008 (16 years ago) |
| Document Number: | L08000078092 |
| FEI/EIN Number | 263284880 |
| Address: | 2061 Collier Parkway, Land O Lakes, FL, 34639, US |
| Mail Address: | 2061 Collier Parkway, Land O Lakes, FL, 34639, US |
| ZIP code: | 34639 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750531489 | 2008-09-30 | 2019-08-22 | 2061 COLLIER PKWY, LAND O LAKES, FL, 346395202, US | 5760 DEAN DAIRY RD, ZEPHYRHILLS, FL, 335410751, US | |||||||||||||||||||||||
|
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| Phone | +1 727-845-5707 |
| Fax | 7274847994 |
| Phone | +1 813-501-8201 |
Authorized person
| Name | MS. LINDA LOUISE WARD |
| Role | PRESIDENT AND CEO |
| Phone | 7278455707 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 14752300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Jones Patricia CPA | Agent | 2513 Seven Springs Boulevard, Trinity, FL, 34655 |
| Name | Role |
|---|---|
| GULFSIDE HEALTHCARE SERVICES, INC. | Managing Member |
| Name | Role | Address |
|---|---|---|
| WARD LINDA L | Chief Executive Officer | 2061 Collier Parkway, Land O Lakes, FL, 34639 |
| Name | Role | Address |
|---|---|---|
| Maughn Allison | Chief Financial Officer | 2061 Collier Parkway, Land O Lakes, FL, 34639 |
| Name | Role | Address |
|---|---|---|
| Postiglione Kathleen | Chief Operating Officer | 2061 Collier Parkway, Land O Lakes, FL, 34639 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08248900010 | PASCO PALLIATIVE CARE | EXPIRED | 2008-09-04 | 2013-12-31 | No data | 6117 TROUBLE CREEK ROAD, NEW PORT RICHEY, FL, 34653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC NAME CHANGE | 2018-10-19 | GULFSIDE PALLIATIVE CARE, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2017-03-03 | Jones, Patricia, CPA | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-03 | 2513 Seven Springs Boulevard, Trinity, FL 34655 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-15 | 2061 Collier Parkway, Land O Lakes, FL 34639 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-15 | 2061 Collier Parkway, Land O Lakes, FL 34639 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-02-12 |
| ANNUAL REPORT | 2019-02-21 |
| LC Name Change | 2018-10-19 |
| ANNUAL REPORT | 2018-01-22 |
| ANNUAL REPORT | 2017-03-03 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
