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PORT ST. LUCIE NURSING, LLC - Florida Company Profile

Company Details

Entity Name: PORT ST. LUCIE NURSING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PORT ST. LUCIE 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.
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: 05 May 2021 (4 years ago)
Document Number: L21000210079
FEI/EIN Number 871128373

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043887631 2021-06-10 2021-06-10 3599 W LAKE MARY BLVD, LAKE MARY, FL, 327463417, US 1655 SE WALTON RD, PORT ST LUCIE, FL, 349527657, US

Contacts

Phone +1 352-874-6007
Fax 3524044078
Phone +1 772-337-1333
Fax 7723376485

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 261637-00
State FL

Key Officers & Management

Name Role Address
EDMANDS ANTHONY Manager 3599 W. LAKE MARY BLVD., SUITE 1F, LAKE MARY, FL, 32746
SWAIN STEWART JR. Manager 980 KAYE GIBBONS CT, KERNERSVILLE, NC, 27284
PARACORP INCORPORATED Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000076639 THE PALMS NURSING AND REHAB AT PORT ST. LUCIE ACTIVE 2021-06-08 2026-12-31 - 1655 SW WALTON RD, PORT ST. LUCIE, FL, 34952

Events

Event Type Filed Date Value Description
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 -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J23000463414 ACTIVE 562023CC001867AXXXHC CIRCUIT COURT ST. LUCIE COUNTY 2023-08-22 2028-10-03 $38,527.52 MEDICAL IMAGING, INC., 5000 NW 27TH COURT, SUITE B., GAINESVILLE, FL 32606

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-13
Florida Limited Liability 2021-05-05

Date of last update: 03 Mar 2025

Sources: Florida Department of State