| Entity Name: | ORLANDO NURSING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 May 2021 (4 years ago) |
| Document Number: | L21000222083 |
| FEI/EIN Number | 871174909 |
| 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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134797517 | 2021-06-14 | 2021-06-14 | 3599 W LAKE MARY BLVD, LAKE MARY, FL, 327463417, US | 1730 LUCERNE TER, ORLANDO, FL, 328062917, US | |||||||||||||||||||||||||
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| Phone | +1 352-874-6007 |
| Fax | 3524044078 |
| Phone | +1 407-423-1612 |
| Fax | 4074238749 |
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 | 261611-00 |
| State | FL |
| Name | Role |
|---|---|
| PARACORP INCORPORATED | Agent |
| Name | Role | Address |
|---|---|---|
| SWAIN STEWART JR. | Manager | 980 KAYE GIBBONS CT., KERNERSVILLE, NC, 27285 |
| EDMANDS ANTHONY | Manager | 3599 W. LAKE MARY BLVD, STE 1-F, LAKE MARY, FL, 32746 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000076644 | THE PALMS NURSING AND REHAB AT ORLANDO | ACTIVE | 2021-06-08 | 2026-12-31 | No data | 1730 LUCERNE TERRACE, ORLANDO, FL, 32806 |
| 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 | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-13 | 3599 W LAKE MARY BLVD, SUITE 1-F, LAKE MARY, FL 32746 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-13 |
| Florida Limited Liability | 2021-05-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
