| Entity Name: | GRASSY WATERS INPATIENT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 07 Mar 2012 (13 years ago) |
| Date of dissolution: | 24 Oct 2024 (3 months ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 24 Oct 2024 (3 months ago) |
| Document Number: | L12000033129 |
| FEI/EIN Number | 45-4772000 |
| Address: | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 |
| Mail Address: | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174898829 | 2012-03-14 | 2020-12-22 | PO BOX 37868, PHILADELPHIA, PA, 191010168, US | 8201 W BROWARD BLVD, PLANTATION, FL, 333242701, US | |||||||||||||||
|
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| Phone | +1 800-507-8874 |
| Phone | +1 954-473-6600 |
Authorized person
| Name | KATHY KONDAS |
| Role | OFFICER |
| Phone | 9732511132 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| FLORIDA IPS MEDICAL SERVICES, LLC | MEMBER |
| Name | Role | Address |
|---|---|---|
| Baxter MD, Brian | Chief Operating Officer | 20 Burton Hills Blvd., Suite 500 Nashville, TN 37215 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2024-10-24 | No data | CORPORATION WAS PART OF A MERGER. NON-QUALIFIED CORPORATION WAS VALESCO LEGACY HOLDINGS, LLC. MERGER NUMBER 300000259773 |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 20 Burton Hills Blvd., Suite 500, Nashville, TN 37215 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J21000186415 | TERMINATED | 1000000885222 | BROWARD | 2021-04-14 | 2031-04-21 | $ 770.39 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-23 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
