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LP JACKSONVILLE, LLC

Company Details

Entity Name: LP JACKSONVILLE, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 22 Feb 2010 (15 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 19 Dec 2014 (10 years ago)
Document Number: M10000000837
FEI/EIN Number 271785845
Address: 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY, 40299, US
Mail Address: 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY, 40299, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154644912 2010-03-09 2012-03-01 2061 HYDE PARK RD, JACKSONVILLE, FL, 322103815, US 2061 HYDE PARK RD, JACKSONVILLE, FL, 322103815, US

Contacts

Phone +1 904-786-7331
Fax 9047864034

Authorized person

Name MR. JOHN HARRISON
Role CFO
Phone 5025687800

Taxonomy

Taxonomy Code 313M00000X - Nursing Facility/Intermediate Care Facility
License Number SNF10800961
State FL
Is Primary No
Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF10800961
State FL
Is Primary Yes

Agent

Name Role
CORPORATION SERVICE COMPANY Agent

Chief Financial Officer

Name Role Address
Harrison John Chief Financial Officer 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY, 40299

Gene

Name Role Address
Doyle Maria Gene 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY, 40299

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000017981 SIGNATURE HEALTHCARE OF JACKSONVILLE ACTIVE 2016-02-18 2026-12-31 No data 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY, 40299
G10000095458 SIGNATURE HEALTHCARE OF JACKSONVILLE EXPIRED 2010-10-18 2015-12-31 No data 2061 HYDE PARK ROAD, JACKSONVILLE, FL, 32210
G10000020056 CEDAR HILLS HEALTHCARE CENTER EXPIRED 2010-03-03 2015-12-31 No data 2979 PGA BLVD, PALM BEACH GARDENS, FL, 33410

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2014-12-19 No data No data
REGISTERED AGENT NAME CHANGED 2014-12-19 CORPORATION SERVICE COMPANY No data
REGISTERED AGENT ADDRESS CHANGED 2014-12-19 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 No data
CHANGE OF PRINCIPAL ADDRESS 2011-01-24 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299 No data
CHANGE OF MAILING ADDRESS 2011-01-24 12201 BLUEGRASS PARKWAY, LOUISVILLE, KY 40299 No data
LC AMENDMENT 2010-03-18 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-09
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-17
ANNUAL REPORT 2021-03-11
ANNUAL REPORT 2020-06-26
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-05
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-03-26

Date of last update: 02 Jan 2025

Sources: Florida Department of State