| Entity Name: | TAMPA REHABILITATION HOSPITAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 28 Feb 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Mar 2022 (3 years ago) |
| Document Number: | L20000063676 |
| FEI/EIN Number | 84-4952844 |
| Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Mail Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346908068 | 2021-11-30 | 2022-07-05 | 680 S 4TH ST, LOUISVILLE, KY, 402022407, US | 1307 W KENNEDY BLVD, TAMPA, FL, 336061848, US | |||||||||||||||||||||
|
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| Phone | +1 813-862-8003 |
| Phone | +1 813-893-6000 |
| Fax | 8138936111 |
Authorized person
| Name | HEATHER HIGGINS |
| Role | CEO |
| Phone | 8138628003 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | No |
| Taxonomy Code | 283X00000X - Rehabilitation Hospital |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Grooms J. Michael | President | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| LPNT IRF Development 50, LLC | Member | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000151632 | TAMPA GENERAL REHABILITATION HOSPITAL | ACTIVE | 2021-11-12 | 2026-12-31 | No data | 680 SOUTH FOURTH STREET, LOUISVILLE, KY, 40202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 330 Seven Springs Way, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-16 | 330 Seven Springs Way, Brentwood, TN 37027 | No data |
| LC AMENDMENT | 2022-03-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-04-19 |
| LC Amendment | 2022-03-17 |
| ANNUAL REPORT | 2021-04-01 |
| Florida Limited Liability | 2020-02-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
