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BORAH INPATIENT SERVICES, LLC

Company Details

Entity Name: BORAH INPATIENT SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Inactive
Date Filed: 12 Jun 2014 (11 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: L14000095037
FEI/EIN Number 47-1328821
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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821407834 2014-08-05 2019-12-09 13737 NOEL RD, STE 1600, DALLAS, TX, 752401331, US 2626 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL, 323084402, US

Contacts

Phone +1 973-251-1132

Authorized person

Name KATHLEEN KONDAS
Role OFFICER
Phone 9732511132

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

MEMBER

Name Role
FLORIDA IPS MEDICAL SERVICES, LLC MEMBER

Chief Operating Officer

Name Role Address
BAXTER MD, BRIAN Chief Operating Officer 20 Burton Hills Blvd, Suite 500 NASHVILLE, TN 37215

Events

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 100000259761
CHANGE OF PRINCIPAL ADDRESS 2024-04-21 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 No data
CHANGE OF MAILING ADDRESS 2024-04-21 20 Burton Hills Blvd, Suite 500, NASHVILLE, TN 37215 No data

Documents

Name Date
ANNUAL REPORT 2024-04-21
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-24
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-06-15
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-04-20
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-25
ANNUAL REPORT 2015-04-23

Date of last update: 21 Jan 2025

Sources: Florida Department of State