| Entity Name: | SENIOR CARE SOUTHERN PINES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 28 Aug 2001 (23 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | M01000001975 |
| FEI/EIN Number | 621873947 |
| Address: | 1621 GALLERIA BOULEVARD, BRENTWOOD, TN, 37027, US |
| Mail Address: | 1621 GALLERIA BOULEVARD, BRENTWOOD, TN, 37027, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346238631 | 2005-10-11 | 2007-11-09 | 6140 CONGRESS ST, NEW PORT RICHEY, FL, 346533909, US | 6140 CONGRESS ST, NEW PORT RICHEY, FL, 346533909, US | |||||||||||||||||||
|
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| Phone | +1 727-842-8402 |
| Fax | 7278418060 |
Authorized person
| Name | RAYMOND L TYLER JR. |
| Role | EXECUTIVE VICE PRESIDENT AND COO |
| Phone | 6157717575 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF15060961 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| SENIOR CARE FLORIDA LEASING, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000128005 | SOUTHERN PINES HEALTHCARE CENTER | EXPIRED | 2009-06-29 | 2014-12-31 | No data | 6140 CONGRESS STREET, NEW PORT RICHEY, FL, 34653 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| LC STMNT OF WITHDRAWAL | 2020-12-11 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2018-01-10 | 1621 GALLERIA BOULEVARD, BRENTWOOD, TN 37027 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-01-10 | 1621 GALLERIA BOULEVARD, BRENTWOOD, TN 37027 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-11-07 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-11-07 | CORPORATION SERVICE COMPANY | No data |
| LC STMNT OF RA/RO CHG | 2014-11-07 | No data | No data |
| REINSTATEMENT | 2006-10-13 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2006-09-15 | No data | No data |
| REINSTATEMENT | 2003-07-28 | No data | No data |
| Name | Date |
|---|---|
| CORLCSWITH | 2020-12-11 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-01-10 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-14 |
| CORLCRACHG | 2014-11-07 |
| AMENDED ANNUAL REPORT | 2014-01-29 |
| ANNUAL REPORT | 2014-01-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
