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