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803 OAK STREET OPERATIONS LLC - Florida Company Profile

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Company Details

Entity Name: 803 OAK STREET OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

803 OAK STREET 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: Inactive

The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders.

Date Filed: 17 Nov 2011 (14 years ago)
Date of dissolution: 23 Sep 2022 (3 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (3 years ago)
Document Number: L11000131250
FEI/EIN Number 371653900

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

Mail Address: 1040 CROWN POINTE PKWY, STE 600, ATLANTA, GA, 30338-4741, US
Address: 803 OAK STREET, GREEN COVE SPRINGS, FL, 32043, US
ZIP code: 32043
City: Green Cove Springs
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Role
Member
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.

CAGE Code:
85JW8
UEI Expiration Date:
2020-07-17

Business Information

Doing Business As:
GOVERNOR'S CREEK HEALTH AND REHABILITATION
Activation Date:
2019-07-18
Initial Registration Date:
2018-08-13

National Provider Identifier

NPI Number:
1356610091
Certification Date:
2020-04-28

Authorized Person:

Name:
KENNETH USSERY
Role:
VP
Phone:

Taxonomy:

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

Contacts:

Fax:
9042840392

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000012045 GOVERNOR'S CREEK HEALTH AND REHABILITATION EXPIRED 2012-02-03 2017-12-31 - 803 OAK STREET, GREEN COVE SPRINGS, FL, 32043

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 - -
CHANGE OF MAILING ADDRESS 2018-06-19 803 OAK STREET, GREEN COVE SPRINGS, FL 32043 -
CHANGE OF PRINCIPAL ADDRESS 2017-04-18 803 OAK STREET, GREEN COVE SPRINGS, FL 32043 -
MERGER 2012-02-01 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000119879

Documents

Name Date
Reg. Agent Resignation 2023-08-08
ANNUAL REPORT 2021-04-20
ANNUAL REPORT 2020-04-20
ANNUAL REPORT 2019-04-21
ANNUAL REPORT 2018-04-23
ANNUAL REPORT 2017-04-18
AMENDED ANNUAL REPORT 2016-07-14
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-17
ANNUAL REPORT 2014-05-01

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Date of last update: 01 Jul 2025

Sources: Florida Department of State