| Entity Name: | BRANDON FACILITY OPERATIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| 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: | 11 Jul 2006 (19 years ago) |
| Document Number: | M06000003822 |
| FEI/EIN Number |
205109231
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 1040 CROWN POINTE PKWY, STE 600, ATLANTA, GA, 30338-4741, US |
| Address: | 850 CONCOURSE PKWY S, MAITLAND, FL, 32751, US |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780606715 | 2006-07-25 | 2021-12-22 | 701 VICTORIA ST, BRANDON, FL, 335104100, US | 701 VICTORIA ST, BRANDON, FL, 335104100, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-681-4220 |
| Fax | 8136895685 |
Authorized person
| Name | KENNETH USSERY |
| Role | VP |
| Phone | 4075711550 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1577096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008037700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LV CHC HOLDINGS I, LLC | Member | 850 CONCOURSE PKWY S STE 250, MAITLAND, FL, 32751 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000137158 | RAYDIANT HEALTH CARE OF BRANDON | ACTIVE | 2021-10-12 | 2026-12-31 | - | 1040 CROWN POINTE PARKWAY, SUITE 600, ATLANTA, GA, 30338 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-14 | 850 CONCOURSE PKWY S, STE 250, MAITLAND, FL 32751 | - |
| CHANGE OF MAILING ADDRESS | 2018-06-19 | 850 CONCOURSE PKWY S, STE 250, MAITLAND, FL 32751 | - |
| REGISTERED AGENT NAME CHANGED | 2012-04-23 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-23 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-21 |
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-21 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-19 |
| ANNUAL REPORT | 2015-04-16 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
