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3825 COUNTRYSIDE BOULEVARD OPERATIONS LLC - Florida Company Profile

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Company Details

Entity Name: 3825 COUNTRYSIDE BOULEVARD OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

3825 COUNTRYSIDE BOULEVARD OPERATIONS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 17 Nov 2011 (14 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 01 Feb 2012 (13 years ago)
Document Number: L11000131233
FEI/EIN Number 900775956

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 850 CONCOURSE PKWY S STE 250, MAITLAND, FL, 32751, US
Mail Address: 1040 CROWN POINTE PKWY STE 600, ATLANTA, GA, 30338-4741, US
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role
EPSILON HEALTH CARE PROPERTIES, LLC Member
CORPORATION SERVICE COMPANY Agent

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
SZD9K3N5AUS5
CAGE Code:
3S7M9
UEI Expiration Date:
2025-01-05

Business Information

Activation Date:
2024-01-09
Initial Registration Date:
2017-10-25

National Provider Identifier

NPI Number:
1063781839
Certification Date:
2020-04-27

Authorized Person:

Name:
KENNETH USSERY
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
7277811402

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000012008 COUNTRYSIDE REHAB AND HEALTHCARE CENTER ACTIVE 2012-02-03 2027-12-31 - 1040 CROWN POINTE PARKWAY, SUITE 600, ATLANTA, GA, 30338

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-23 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751 -
CHANGE OF MAILING ADDRESS 2018-06-19 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751 -
REGISTERED AGENT NAME CHANGED 2012-03-20 CORPORATION SERVICE COMPANY -
REGISTERED AGENT ADDRESS CHANGED 2012-03-20 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 -
MERGER 2012-02-01 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000119909

Documents

Name Date
ANNUAL REPORT 2024-04-23
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-21
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-17
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-17

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Date of last update: 01 Jun 2025

Sources: Florida Department of State