| Entity Name: | SUNCREST OUTPATIENT REHAB SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 24 Jun 2008 (17 years ago) |
| Date of dissolution: | 03 Dec 2024 (5 months ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 03 Dec 2024 (5 months ago) |
| Document Number: | M08000003008 |
| FEI/EIN Number |
261910553
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508, US |
| Place of Formation: | TENNESSEE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649438805 | 2008-05-23 | 2012-06-29 | 510 HOSPITAL DR, SUITE 150, MADISON, TN, 371155033, US | 1503 OAK ST, JACKSONVILLE, FL, 322043910, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 615-627-9267 |
| Fax | 6155770081 |
| Phone | +1 904-353-2019 |
| Fax | 9043537762 |
Authorized person
| Name | AMANDA MCFADDIN |
| Role | DIRECTOR OF LICENSING/ACCREDITATION |
| Phone | 6157122250 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROVIDER NO. |
| Number | AS074 |
| State | FL |
| Issuer | STATE LICENSE NO |
| Number | HCC9132 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Proffitt list Joshua L | Manager | 901 HUGH WALLIS RD S, LAFAYETTE, LA, 70508 |
| LHC GROUP, INC. | Manager | - |
| C T CORPORATION SYSTEM | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000012274 | MEDERI CARETENDERS | ACTIVE | 2021-01-25 | 2026-12-31 | - | 901 HUGH WALLIS ROAD SOUTH, LAFAYETTE, LA, 70508 |
| G14000113540 | SUNCREST REHAB SERVICES | EXPIRED | 2014-11-11 | 2019-12-31 | - | 9510 ORMSBY STATION ROAD, SUITE 300, LOUISVILLE, KY, 40223 |
| G08338900281 | SUNCREST REHAB SERVICES | EXPIRED | 2008-12-03 | 2013-12-31 | - | 608 HOSPITAL DR, MADISON, TN, 37115 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2024-12-03 | - | - |
| LC STMNT OF RA/RO CHG | 2023-11-16 | - | - |
| REGISTERED AGENT NAME CHANGED | 2023-11-16 | C T CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-16 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| LC AMENDMENT | 2019-02-04 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-02-04 | 901 HUGH WALLIS RD S, LAFAYETTE, LA 70508 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2024-12-03 |
| ANNUAL REPORT | 2024-04-25 |
| CORLCRACHG | 2023-11-16 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-05-01 |
| LC Amendment | 2019-02-04 |
| ANNUAL REPORT | 2018-04-25 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
