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HEALTH SERVICES OF BLUEWATER BAY, LLC

Company Details

Entity Name: HEALTH SERVICES OF BLUEWATER BAY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Sep 2014 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 30 Nov 2015 (9 years ago)
Document Number: L14000141544
FEI/EIN Number 47-1834591
Address: 1500 N. WHITE POINT ROAD, NICEVILLE, FL, 32578, US
Mail Address: 1500 N. WHITE POINT ROAD, NICEVILLE, FL, 32578, US
ZIP code: 32578
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831593433 2014-10-10 2014-10-10 1500 WHITE POINT RD, NICEVILLE, FL, 325784249, US 1500 WHITE POINT RD, NICEVILLE, FL, 325784249, US

Contacts

Phone +1 850-897-5592
Fax 8508970501

Authorized person

Name MR. SIDNEY DUANE GALLAGHER
Role MEMBER
Phone 8508306355

Taxonomy

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

Agent

Name Role Address
SANBORN CLIFFORD WESQ. Agent 220 MCKENZIE AVENUE, PANAMA CITY, FL, 32401

Managing Member

Name Role Address
GALLAGHER DUANE Managing Member 124 PETERS COURT, FREEPORT, FL, 32439

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G14000092632 THE MANOR AT BLUE WATER BAY ACTIVE 2014-09-10 2029-12-31 No data 1500 N. WHITE POINT ROAD, NICEVILLE, FL, 32578

Events

Event Type Filed Date Value Description
REINSTATEMENT 2015-11-30 No data No data
REGISTERED AGENT NAME CHANGED 2015-11-30 SANBORN, CLIFFORD W, ESQ. No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2015-09-25 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-07
ANNUAL REPORT 2024-01-23
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-01-27
ANNUAL REPORT 2021-01-27
ANNUAL REPORT 2020-01-15
ANNUAL REPORT 2019-01-04
ANNUAL REPORT 2018-01-18
ANNUAL REPORT 2017-01-12
ANNUAL REPORT 2016-02-02

Date of last update: 02 Feb 2025

Sources: Florida Department of State