Entity Name: | EAGLE LAKE NURSING & REHAB OPCO LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 14 Nov 2022 (2 years ago) |
Document Number: | L22000483502 |
FEI/EIN Number | 92-1070413 |
Address: | 7951 SW 6TH STREET, PLANTATION, FL 33324 |
Mail Address: | 7951 SW 6TH STREET, PLANTATION, FL 33324 |
ZIP code: | 33324 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578320172 | 2024-03-01 | 2024-03-01 | 7951 SW 6TH ST STE 116, PLANTATION, FL, 333243211, US | 1100 66TH ST N, SAINT PETERSBURG, FL, 337106224, US | |||||||||||||||
|
Phone | +1 786-785-9165 |
Phone | +1 727-345-9331 |
Authorized person
Name | MR. EDEN NAJMAN |
Role | C.E.O. |
Phone | 7867859156 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
Is Primary | Yes |
Name | Role |
---|---|
HCO MANAGEMENT, LLC | Agent |
Name | Role | Address |
---|---|---|
NAJMAN, EDEN | Manager | 7951 SW 6TH STREET, PLANTATION, FL 33324 |
Name | Role | Address |
---|---|---|
NAJMAN, PAZ | Authorized Member | 7951 SW 6TH STREET, PLANTATION, FL 33324 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G24000011116 | EAGLE LAKE NURSING AND REHAB CARE CENTER | ACTIVE | 2024-01-19 | 2029-12-31 | No data | 1100 66TH ST N, ST. PETERSBURG, FL, 33710 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-10-16 | HCO Management LLC | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-10-16 | 7951 SW 6th Street, Plantation, FL 33324 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-10-16 |
ANNUAL REPORT | 2024-03-21 |
ANNUAL REPORT | 2023-03-02 |
Florida Limited Liability | 2022-11-14 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State