| Entity Name: | OASIS OF HOPE THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L21000422576 |
| FEI/EIN Number | 87-2803647 |
| Address: | 260 South Marion Avenue, Suite 135, Lake City, FL, 32025, US |
| Mail Address: | 260 South Marion Avenue, Suite 135, Lake City, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831857945 | 2021-12-06 | 2024-09-26 | PO BOX 3394, LAKE CITY, FL, 320563394, US | 260 S MARION AVE STE 135, LAKE CITY, FL, 320257000, US | |||||||||||||||||||
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| Phone | +1 386-697-8842 |
Authorized person
| Name | JOSEY S CORBETT |
| Role | CEO |
| Phone | 3866978842 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 116149000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORBETT JOSEY S | Agent | 260 South Marion Avenue, Lake City, FL, 32025 |
| Name | Role | Address |
|---|---|---|
| CORBETT JOSEY S | Manager | 250 NW Main Blvd, Lake City, FL, 32056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-12 | 260 South Marion Avenue, Suite 135, Lake City, FL 32025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-12 | 260 South Marion Avenue, Suite 135, Lake City, FL 32025 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-23 | 260 South Marion Avenue, Suite 135, Lake City, FL 32025 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-13 |
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-12 |
| Florida Limited Liability | 2021-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
