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EAGLE LAKE NURSING & REHAB OPCO LLC - Florida Company Profile

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Company Details

Entity Name: EAGLE LAKE NURSING & REHAB OPCO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 14 Nov 2022 (3 years ago)
Document Number: L22000483502
FEI/EIN Number 92-1070413
Address: 7951 SW 6TH STREET, PLANTATION, FL, 33324, US
Mail Address: 7951 SW 6TH STREET, PLANTATION, FL, 33324, US
ZIP code: 33324
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
NAJMAN EDEN Manager 7951 SW 6TH STREET, PLANTATION, FL, 33324
NAJMAN PAZ Authorized Member 7951 SW 6TH STREET, PLANTATION, FL, 33324

National Provider Identifier

NPI Number:
1578320172
Certification Date:
2024-03-01

Authorized Person:

Name:
MR. EDEN NAJMAN
Role:
C.E.O.
Phone:

Taxonomy:

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

Contacts:

Fictitious Names

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 - 1100 66TH ST N, ST. PETERSBURG, FL, 33710

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-10-16 HCO Management LLC -
REGISTERED AGENT ADDRESS CHANGED 2024-10-16 7951 SW 6th Street, Plantation, FL 33324 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-10-16
ANNUAL REPORT 2024-03-21
ANNUAL REPORT 2023-03-02
Florida Limited Liability 2022-11-14

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Date of last update: 01 Aug 2025

Sources: Florida Department of State