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 |
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 | |||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role |
---|---|
EPSILON HEALTH CARE PROPERTIES, LLC | MEMBER |
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 |
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 |
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