| Entity Name: | WINTER HAVEN NURSING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WINTER HAVEN NURSING, 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. |
| 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: | 05 May 2021 (4 years ago) |
| Document Number: | L21000210006 |
| FEI/EIN Number |
87-1102653
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3599 W. LAKE MARY BLVD, LAKE MARY, FL, 32746, US |
| Mail Address: | 3599 W LAKE MARY BLVD, LAKE MARY, FL, 32746, US |
| ZIP code: | 32746 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154998995 | 2021-06-09 | 2021-06-09 | 3599 W LAKE MARY BLVD, LAKE MARY, FL, 327463417, US | 1801 LAKE MARIAM DR, WINTER HAVEN, FL, 338840927, US | |||||||||||||||||||||||||
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| Phone | +1 352-874-6007 |
| Fax | 3524044078 |
| Phone | +1 863-293-1989 |
| Fax | 8632996427 |
Authorized person
| Name | VICTORIA SHARPLESS |
| Role | DIRECTOR OF ACCOUNTING |
| Phone | 3528746007 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 25139900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| EDMANDS ANTHONY | Manager | 3599 W. LAKE MARY BLVD., SUITE 1F, LAKE MARY, FL, 32746 |
| SWAIN STEWART JR. | Manager | 3599 W. LAKE MARY BLVD., SUITE 1F, LAKE MARY, FL, 32746 |
| PARACORP INCORPORATED | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000076632 | THE PALMS NURSING AND REHAB AT WINTER HAVEN | ACTIVE | 2021-06-08 | 2026-12-31 | - | 1801 NORTH LAKE MARIAM DR., WINTER HAVEN, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | PARACORP INCORPORATED | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-25 | 155 OFFICE PLAZA DR., 1ST, TALLAHASSEE, FL 32301 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-13 | 3599 W. LAKE MARY BLVD, Suite 1-F, LAKE MARY, FL 32746 | - |
| CHANGE OF MAILING ADDRESS | 2021-08-13 | 3599 W. LAKE MARY BLVD, Suite 1-F, LAKE MARY, FL 32746 | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2024-03-19 |
| Reg. Agent Resignation | 2023-09-13 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-13 |
| Florida Limited Liability | 2021-05-05 |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2702364 | WINTER HAVEN NURSING, LLC | - | WK2SLNTQ7SM4 | 1801 LAKE MARIAM DR, WINTER HAVEN, FL, 33884-0927 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Name | Anthony Edmands |
| Role | Mgr |
| Name | Stewart Swain |
| Role | Mgr |
SBA Federal Certifications
| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | $0 |
| Description | Construction Bonding Level (aggregate) |
| Level | $0 |
| Description | Service Bonding Level (per contract) |
| Level | $0 |
| Description | Service Bonding Level (aggregate) |
| Level | $0 |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 623110 |
| NAICS Code's Description | Nursing Care Facilities (Skilled Nursing Facilities) |
| Small | Yes |
Export Profile (Trade Mission Online)
| Exporter | No |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
