| Entity Name: | LAKE MARIAM FL OPCO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Mar 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 14 Jun 2023 (2 years ago) |
| Document Number: | L23000119426 |
| FEI/EIN Number | 92-3055259 |
| Address: | 2700 WESTHALL LANE, SUITE 235, C/O LILAC HEALTH GROUP, MAITLAND, FL 32751 |
| Mail Address: | 2700 WESTHALL LANE, SUITE 235, C/O LILAC HEALTH GROUP, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114621851 | 2023-03-28 | 2023-03-28 | 1801 LAKE MARIAM DR, WINTER HAVEN, FL, 338840927, US | 1801 LAKE MARIAM DR, WINTER HAVEN, FL, 338840927, US | |||||||||||||
|
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| Phone | +1 863-293-1989 |
Authorized person
| Name | BATYA GORELICK |
| Role | MANAGER |
| Phone | 2019287808 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VSTATE FILINGS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SCHOENFELD, ROBERT | Manager | 3512 QUENTIN ROAD, SUITE 200, BROOKLYN, NY 11234 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000035682 | LAKE MARIAM HEALTH AND REHABILITATION CENTER | ACTIVE | 2023-03-17 | 2028-12-31 | No data | 1801 NORTH LAKE, MARIAM DRIVE, WINTER, HAVEN, FL, 33884 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-08 | 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 | No data |
| LC AMENDMENT | 2023-06-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-14 | 2700 WESTHALL LANE, SUITE 235, C/O LILAC HEALTH GROUP, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-14 | 2700 WESTHALL LANE, SUITE 235, C/O LILAC HEALTH GROUP, MAITLAND, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| LC Amendment | 2023-06-14 |
| Florida Limited Liability | 2023-03-07 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
