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PALM COAST PKWY OPCO LLC

Company Details

Entity Name: PALM COAST PKWY OPCO LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Jul 2023 (2 years ago)
Document Number: L23000352968
FEI/EIN Number 93-2658370
Address: 3001 PALM COAST PARKWAY SE, PALM COAST, FL, 32137, US
Mail Address: 3001 PALM COAST PARKWAY SE, PALM COAST, FL, 32137, US
ZIP code: 32137
County: Flagler
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902588551 2023-08-03 2024-04-23 3001 PALM COAST PKWY SE, PALM COAST, FL, 321378209, US 3001 PALM COAST PKWY SE, PALM COAST, FL, 321378209, US

Contacts

Phone +1 386-446-6060
Fax 3864466033

Authorized person

Name NATHAN FREUND
Role MANAGER
Phone 7327307480

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Manager

Name Role Address
FREUND NATHAN Manager 338 WHITESVILLE ROAD, JACKSON, NJ, 08527

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000094560 ASPIRE AT GRAND OAKS ACTIVE 2023-08-14 2028-12-31 No data 3001 PALM COAST PARKWAY SE, PALM COAST, FL, 32137

Documents

Name Date
ANNUAL REPORT 2024-04-24
Florida Limited Liability 2023-07-26

Date of last update: 02 Feb 2025

Sources: Florida Department of State