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  5. ORANGE PARK NURSING, LLC

ORANGE PARK NURSING, LLC - Florida Company Profile

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Company Details

Entity Name: ORANGE PARK NURSING, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 May 2021 (4 years ago)
Document Number: L21000210200
FEI/EIN Number 871152454
Mail Address: 3599 W LAKE MARY BLVD, LAKE MARY, FL, 32746, US
Address: 3599 W. LAKE MARY BLVD., LAKE MARY, FL, 32746, US
ZIP code: 32746
City: Lake Mary
County: Seminole
Place of Formation: FLORIDA

Key Officers & Management

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

Unique Entity ID

Unique Entity ID:
E425LUWT63M3
CAGE Code:
9CP56
UEI Expiration Date:
2025-10-01

Business Information

Activation Date:
2024-10-02
Initial Registration Date:
2022-08-30

National Provider Identifier

NPI Number:
1720656390
Certification Date:
2021-06-11
Link:
View on NPI website

Authorized Person:

Name:
VICTORIA SHARPLESS
Role:
DIRECTOR OF ACCOUNTING
Phone:
3528746007

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Phone:
+1 904-269-2610

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000076648 THE PALMS NURSING AND REHAB AT ORANGE PARK ACTIVE 2021-06-08 2026-12-31 - 833 KINGSLEY AVE., ORANGE PARK, FL, 32073

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-03-19 PARACORP INCORPORATED -
REGISTERED AGENT ADDRESS CHANGED 2024-03-19 155 OFFICE PLAZA DR, 1ST FL, 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 -

Documents

Name Date
ANNUAL REPORT 2024-03-19
Reg. Agent Resignation 2023-09-26
ANNUAL REPORT 2023-04-13
ANNUAL REPORT 2022-04-13
Florida Limited Liability 2021-05-05

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24825N0508
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
4000000.00
Base And Exercised Options Value:
4000000.00
Base And All Options Value:
4000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2025-04-10
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES
Procurement Instrument Identifier:
36C24824N0450
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
4000000.00
Base And Exercised Options Value:
4000000.00
Base And All Options Value:
4000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2024-04-10
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24823N0473
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
4000000.00
Base And Exercised Options Value:
4000000.00
Base And All Options Value:
4000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2023-04-10
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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