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BLUE HERON HEALTH AND REHABILITATION LLC - Florida Company Profile

Company Details

Entity Name: BLUE HERON HEALTH AND REHABILITATION LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BLUE HERON HEALTH AND REHABILITATION LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 27 Jun 2017 (8 years ago)
Last Event: LC STMNT OF AUTHORITY 21
Event Date Filed: 08 Apr 2019 (6 years ago)
Document Number: L17000139756
FEI/EIN Number 82-2015151

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1800 N WABASH RD, MARION, IN, 46952, US
Mail Address: 1800 N WABASH RD, MARION, IN, 46952, US
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972193712 2021-01-26 2021-04-06 1800 N WABASH RD, MARION, IN, 469521300, US 5085 EAGLESTON BOULEVARD, WESLEY CHAPEL, FL, 33544, US

Contacts

Phone +1 765-664-5400
Fax 7656645403
Phone +1 813-454-0513

Authorized person

Name BETH R KLEE
Role EXECUTIVE ASSISTANT
Phone 7656645400

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Key Officers & Management

Name Role Address
OTT GARY L Member 4158 Skyway Dr, Naples, FL, 34112
OTT DWIGHT A Authorized Member 2214 MEADOWBROOK DRIVE, MARION, IN, 46952
OTT RYAN M Authorized Member 4158 N Huntington Rd, Marion, IN, 46952
Lanham Steve Agent 27177 Cooper Creek Court, Wesley Chapel, FL, 33544

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000101975 BLUE HERON ASSISTED LIVING ACTIVE 2020-08-11 2025-12-31 - 1800 N WABASH RD, MARION, IN, 46952
G20000101980 BLUE HERON SENIOR LIVING ACTIVE 2020-08-11 2025-12-31 - 1800 N WABASH RD, MARION, IN, 46952
G20000101988 BLUE HERON HEALTH AND REHABILITATION CENTER ACTIVE 2020-08-11 2025-12-31 - 1800 N WABASH RD, MARION, IN, 46952

Events

Event Type Filed Date Value Description
LC STMNT OF AUTHORITY 2019-04-08 - -
REGISTERED AGENT NAME CHANGED 2019-02-27 Lanham, Steve -
REGISTERED AGENT ADDRESS CHANGED 2019-02-27 27177 Cooper Creek Court, Wesley Chapel, FL 33544 -

Documents

Name Date
ANNUAL REPORT 2024-01-10
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-02-15
ANNUAL REPORT 2020-01-16
CORLCAUTH 2019-04-08
ANNUAL REPORT 2019-02-27
ANNUAL REPORT 2018-03-06
Florida Limited Liability 2017-06-27

Date of last update: 02 Apr 2025

Sources: Florida Department of State