| Entity Name: | COUNTRYSIDE BLVD OPCO LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 Jul 2023 (2 years ago) |
| Document Number: | L23000319558 |
| FEI/EIN Number | 93-2348226 |
| Address: | 3825 COUNTRYSIDE BOULEVARD N, PALM HARBOR, FL 34684 |
| Mail Address: | 3825 COUNTRYSIDE BOULEVARD N, PALM HARBOR, FL 34684 |
| ZIP code: | 34684 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568141638 | 2023-07-14 | 2024-04-23 | 3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL, 346844928, US | 3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL, 346844928, US | |||||||||||||||
|
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| Phone | +1 727-784-2848 |
| Fax | 7277811402 |
Authorized person
| Name | NATHAN FREUND |
| Role | MANAGER |
| Phone | 7327307480 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| FREUND, NATHAN | Manager | 338 WHITESVILLE ROAD, JACKSON, NJ 08527 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000086397 | ASPIRE AT COUNTRYSIDE | ACTIVE | 2023-07-24 | 2028-12-31 | No data | 3825 COUNTRYSIDE BOULEVARD N, PALM HARBOR, FL, 34684 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| Florida Limited Liability | 2023-07-05 |
Date of last update: 09 Jan 2025
Sources: Florida Department of State
