| Entity Name: | PRUITTHEALTH - PENSACOLA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2014 (10 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 07 Feb 2022 (3 years ago) |
| Document Number: | L14000161340 |
| FEI/EIN Number | 47-5467563 |
| Address: | 1626 Jeurgens Court, Norcross, GA, 30093, US |
| Mail Address: | 1626 Jeurgens Court, Norcross, GA, 30093, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659136075 | 2024-02-15 | 2024-02-15 | 1626 JEURGENS CT, NORCROSS, GA, 300932219, US | 1371 W NINE MILE RD, PENSACOLA, FL, 325341652, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 770-279-6200 |
Authorized person
| Name | NEIL L PRUITT JR. |
| Role | CHAIRMAN AND CEO |
| Phone | 7702796200 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Pruitt Neil LJr | Manager | 1626 Jeurgens Court, Norcross, GA, 30093 |
| UNITED HEALTH SERVICES OF FLORIDA, INC. | Manager | No data |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-23 | 1626 Jeurgens Court, Norcross, GA 30093 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-23 | 1626 Jeurgens Court, Norcross, GA 30093 | No data |
| LC NAME CHANGE | 2022-02-07 | PRUITTHEALTH - PENSACOLA, LLC | No data |
| LC STMNT OF RA/RO CHG | 2016-08-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-08-23 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-08-23 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-04-28 |
| LC Name Change | 2022-02-07 |
| ANNUAL REPORT | 2021-04-19 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-03-06 |
| ANNUAL REPORT | 2018-02-26 |
| ANNUAL REPORT | 2017-03-01 |
| CORLCRACHG | 2016-08-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
