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NORTHPORT HEALTH SERVICES OF FLORIDA, L.L.C. - Florida Company Profile

Headquarter

Company Details

Entity Name: NORTHPORT HEALTH SERVICES OF FLORIDA, L.L.C.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

NORTHPORT HEALTH SERVICES OF FLORIDA, L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 19 Feb 1999 (26 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 30 Jun 2021 (4 years ago)
Document Number: L99000000965
FEI/EIN Number 631219300

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 931 FAIRFAX Park, Tuscaloosa, AL, 35406, US
Mail Address: 931 FAIRFAX Park, Tuscaloosa, AL, 35406, US
Place of Formation: FLORIDA

Links between entities

Type Company Name Company Number State
Headquarter of NORTHPORT HEALTH SERVICES OF FLORIDA, L.L.C., ALABAMA 000-601-637 ALABAMA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1225083207 2006-05-24 2020-10-27 1201 SE 24TH RD, OCALA, FL, 344716009, US 1201 SE 24TH RD, OCALA, FL, 344716009, US

Contacts

Phone +1 352-732-2449

Authorized person

Name PHILLIP CODY LONG
Role CFO
Phone 2053913600

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF13850961
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 021739500
State FL

Key Officers & Management

Name Role Address
C T CORPORATION SYSTEM Agent -
Cody Long Phillip Vice President 931 FAIRFAX Park, Tuscaloosa, AL, 35406
Estes J. Norman President 931 FAIRFAX Park, Tuscaloosa, AL, 35406
Estes J. Norman Treasurer 931 FAIRFAX Park, Tuscaloosa, AL, 35406
Toney Darin Managing Member 931 FAIRFAX Park, Tuscaloosa, AL, 35406

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000114287 CRYSTAL RIVER HEALTH AND REHABILITATION SCHOOL OF HEALTH SCIENCES ACTIVE 2018-10-22 2028-12-31 - 136 NORTHEAST 12TH AVENUE, CRYSTAL RIVER, FL, 34429
G18000114273 CRYSTAL RIVER HEALTH AND REHABILITATION CENTER EXPIRED 2018-10-22 2023-12-31 - 136 NORTHEAST 12TH AVENUE, CRYSTAL RIVER, FL, 34429
G99117900399 OCALA HEALTH AND REHABILITATION CENTER ACTIVE 1999-04-28 2029-12-31 - 931 FAIRFAX PARK, TUSCALOOSA, AL, 35406
G99117900405 WEST MELBOURNE HEALTH AND REHABILITATION CENTER ACTIVE 1999-04-28 2029-12-31 - 2125 WEST NEW HAVEN AVENUE, WEST MELBOURNE, FL, 32904-3803
G99117900404 CRYSTAL RIVER HEALTH AND REHABILITATION CENTER ACTIVE 1999-04-27 2029-12-31 - 136 NE 12TH AVENUE, CRYSTAL RIVER, FL, 34429-4533
G99117900401 DAYTONA BEACH HEALTH AND REHABILITATION CENTER ACTIVE 1999-04-27 2029-12-31 - 1055 THIRD STREET, DAYTONA BEACH, FL, 32117-4101
G99117900402 ST. AUGUSTINE HEALTH AND REHABILITATION CENTER ACTIVE 1999-04-27 2029-12-31 - 51 SUNRISE BOULEVARD, ST. AUGUSTINE, FL, 32084-6216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-13 931 FAIRFAX Park, Tuscaloosa, AL 35406 -
CHANGE OF MAILING ADDRESS 2022-04-13 931 FAIRFAX Park, Tuscaloosa, AL 35406 -
LC AMENDMENT 2021-06-30 - -

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-02
ANNUAL REPORT 2022-04-13
LC Amendment 2021-06-30
ANNUAL REPORT 2021-04-22
ANNUAL REPORT 2020-04-07
ANNUAL REPORT 2019-04-03
ANNUAL REPORT 2018-03-29
ANNUAL REPORT 2017-04-20
ANNUAL REPORT 2016-04-18

Date of last update: 02 Apr 2025

Sources: Florida Department of State