| Entity Name: | SILOAM HEALTH CARE SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 May 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 19 Mar 2024 (a year ago) |
| Document Number: | L17000107534 |
| FEI/EIN Number | 83-1162253 |
| Address: | 1205 Neville Ave, LAKELAND, FL, 33805, US |
| Mail Address: | 1205 Neville Ave, LAKELAND, FL, 33805, US |
| ZIP code: | 33805 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831798289 | 2020-10-17 | 2020-10-17 | 1205 NEVILLE AVE, LAKELAND, FL, 338054144, US | 1205 NEVILLE AVE, LAKELAND, FL, 338054144, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 863-510-5921 |
Authorized person
| Name | BERGELINE LEXIS |
| Role | MANAGER |
| Phone | 3237058054 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEXIS BERGELINE | Agent | 1205 Neville Ave, LAKELAND, FL, 33805 |
| Name | Role | Address |
|---|---|---|
| Lexis Bergeline | Auth | 1205 Neville Ave, LAKELAND, FL, 33805 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-03-19 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REINSTATEMENT | 2020-07-05 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2020-07-05 | LEXIS, BERGELINE | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-12-12 | 1205 Neville Ave, LAKELAND, FL 33805 | No data |
| REINSTATEMENT | 2018-12-12 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-12-12 | 1205 Neville Ave, LAKELAND, FL 33805 | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-12 | 1205 Neville Ave, LAKELAND, FL 33805 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-03-19 |
| ANNUAL REPORT | 2021-04-06 |
| REINSTATEMENT | 2020-07-05 |
| REINSTATEMENT | 2018-12-12 |
| Florida Limited Liability | 2017-05-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
