| Entity Name: | SUNVIEW MEDICAL CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Dec 2019 (5 years ago) |
| Document Number: | L19000303217 |
| FEI/EIN Number | 84-4043589 |
| Address: | 150 AIRPORT ROAD, STE 900, LAKEWOOD, NJ 08701 |
| Mail Address: | 150 AIRPORT ROAD, STE 900, LAKEWOOD, NJ 08701 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245865880 | 2020-03-04 | 2020-03-04 | 45 CIRCLE PL, LAKEWOOD, NJ, 087013050, US | 1041 45TH STREET, WEST PALM BEACH, FL, 33407, US | |||||||||||||||||||||||||
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| Phone | +1 347-522-5970 |
| Fax | 3184242627 |
| Phone | +1 561-383-5736 |
| Fax | 5613835922 |
Authorized person
| Name | CHAIM ROTTENBERG |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3475225970 |
Taxonomy
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 060324400 |
| State | FL |
| Name | Role |
|---|---|
| VCORP SERVICES, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| Werdiger, Stephen | Authorized Member | 150 AIRPORT ROAD, STE 900, LAKEWOOD, NJ 08701 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000149983 | SUNVIEW MEDICAL CENTER | ACTIVE | 2020-11-23 | 2025-12-31 | No data | 150 AIRPORT ROAD, SUITE 900, LAKEWOOD, NJ, 08701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-20 | 1200 S PINE ISLAND ROAD, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-03-04 |
| Florida Limited Liability | 2019-12-18 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
