| Entity Name: | PROVIDENT GROUP - CITRUS HEALTH & REHABILITATION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Feb 2002 (23 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 28 Mar 2002 (23 years ago) |
| Document Number: | M02000000462 |
| FEI/EIN Number | 753006601 |
| Address: | 5565 BANKERS AVENUE, BATON ROUGE, LA, 70808 |
| Mail Address: | 5565 BANKERS AVENUE, BATON ROUGE, LA, 70808 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821020827 | 2006-07-07 | 2020-08-22 | 701 MEDICAL CT E, INVERNESS, FL, 344524616, US | 701 MEDICAL CT E, INVERNESS, FL, 344524616, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 352-860-0200 |
| Fax | 3528600975 |
Authorized person
| Name | MS. MARLA PAGE SCANNICCHIO |
| Role | VP/DIRECTOR OF ACCOUNTING |
| Phone | 2257663977 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 13265 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| PROVIDENT RESOURCES GROUP INC. | Member |
| Name | Role | Address |
|---|---|---|
| Hicks Donovan O | Auth | 5565 BANKERS AVENUE, BATON ROUGE, LA, 70808 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-20 | 5565 Bankers Avenue, Baton Rouge, LA 70808 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-20 | 5565 Bankers Avenue, Baton Rouge, LA 70808 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-19 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| NAME CHANGE AMENDMENT | 2002-03-28 | PROVIDENT GROUP - CITRUS HEALTH & REHABILITATION CENTER LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-20 |
| ANNUAL REPORT | 2024-02-15 |
| ANNUAL REPORT | 2023-03-26 |
| ANNUAL REPORT | 2022-05-05 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
