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7950 LAKE UNDERHILL ROAD OPERATIONS LLC

Company Details

Entity Name: 7950 LAKE UNDERHILL ROAD OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 Nov 2011 (13 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 01 Feb 2012 (13 years ago)
Document Number: L11000131335
FEI/EIN Number 90-0777078
Address: 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751
Mail Address: 1040 CROWN POINTE PKWY, STE 600, ATLANTA, GA 30338-4741
ZIP code: 32751
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902175656 2011-12-27 2023-11-27 7950 LAKE UNDERHILL RD, ORLANDO, FL, 328228229, US 7950 LAKE UNDERHILL RD, ORLANDO, FL, 328228229, US

Contacts

Phone +1 407-658-2046
Fax 4072492226

Authorized person

Name KENNETH USSERY
Role VP
Phone 4075711550

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF14370961
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 004384600
State FL

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

MEMBER

Name Role
EPSILON HEALTH CARE PROPERTIES, LLC MEMBER

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G12000012153 RIO PINAR HEALTH CARE ACTIVE 2012-02-03 2027-12-31 No data 1040 CROWN POINTE PARKWAY, SUITE 600, ATLANTA, GA, 30338

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-24 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751 No data
CHANGE OF MAILING ADDRESS 2018-06-19 850 CONCOURSE PKWY S STE 250, MAITLAND, FL 32751 No data
REGISTERED AGENT NAME CHANGED 2012-03-20 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2012-03-20 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
MERGER 2012-02-01 No data CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 100000119891

Documents

Name Date
ANNUAL REPORT 2024-04-24
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 2018-04-23
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-22
ANNUAL REPORT 2015-04-17

Date of last update: 23 Jan 2025

Sources: Florida Department of State