| Entity Name: | THE VILLAGES HEALTH SYSTEM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 May 2012 (13 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 10 Jul 2018 (7 years ago) |
| Document Number: | L12000066182 |
| FEI/EIN Number | 38-3876436 |
| Address: | 3619 KIESSEL ROAD, THE VILLAGES, FL 32163 |
| Mail Address: | 3619 KIESSEL ROAD, THE VILLAGES, FL 32163 |
| ZIP code: | 32163 |
| County: | Sumter |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699012922 | 2013-01-07 | 2023-03-07 | 1020 LAKE SUMTER LNDG, THE VILLAGES, FL, 321622699, US | 779 KRISTINE WAY, THE VILLAGES, FL, 32163, US | |||||||||||||||||||||||
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| Phone | +1 352-674-8905 |
| Fax | 3526748919 |
| Phone | +1 352-674-1700 |
Authorized person
| Name | DR. JEFFREY LOWENKRON |
| Role | CMO |
| Phone | 3526748950 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 0041U |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HUDSON, BRIAN D, Esq | Agent | 3619 KIESSEL RD., THE VILLAGES, FL 32163 |
| Name | Role |
|---|---|
| THE VILLAGES HEALTH HOLDING COMPANY, LLC | MANAGER |
| Name | Role | Address |
|---|---|---|
| SUSSMAN, ELLIOT | PRESIDENT | 3619 KIESSEL ROAD, THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| Trinh, Bobby | Chief Executive Officer | 3619 KIESSEL ROAD, THE VILLAGES, FL 32162 |
| Name | Role | Address |
|---|---|---|
| STOFF, KENNETH D | Treasurer | 3619 KIESSEL ROAD, THE VILLAGES, FL 32162 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000025760 | THE FAMILY DOCTORS OF BELLEVIEW | EXPIRED | 2013-03-14 | 2018-12-31 | No data | 1020 LAKE SUMTER LANDING, THE VILLAGES, FL, 32162 |
| G13000025754 | THE VILLAGES HEALTH | ACTIVE | 2013-03-14 | 2028-12-31 | No data | 3619 KIESSEL ROAD, THE VILLAGES, FL, 32163 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-07-26 | 3619 KIESSEL ROAD, THE VILLAGES, FL 32163 | No data |
| CHANGE OF MAILING ADDRESS | 2019-07-26 | 3619 KIESSEL ROAD, THE VILLAGES, FL 32163 | No data |
| LC STMNT OF RA/RO CHG | 2018-07-10 | No data | No data |
| LC AMENDMENT | 2016-08-10 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-08-10 | HUDSON, BRIAN D, Esq | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-08-10 | 3619 KIESSEL RD., THE VILLAGES, FL 32163 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-03-06 |
| ANNUAL REPORT | 2019-02-06 |
| CORLCRACHG | 2018-07-10 |
| ANNUAL REPORT | 2018-03-30 |
| ANNUAL REPORT | 2017-03-18 |
| LC Amendment | 2016-08-10 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
