| Entity Name: | CCRC OPCO - CYPRESS VILLAGE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 May 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 02 Oct 2020 (4 years ago) |
| Document Number: | M14000003470 |
| FEI/EIN Number | 36-4786349 |
| Address: | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237, US |
| Mail Address: | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790199057 | 2014-06-16 | 2021-02-10 | 1920 MAIN ST STE 1200, IRVINE, CA, 926147230, US | 4600 MIDDLETON PARK CIR E, JACKSONVILLE, FL, 322245691, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 904-223-6100 |
Authorized person
| Name | JEFFREY MILLER |
| Role | CEO/PRESIDENT |
| Phone | 9494070700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| CCRC OpCo Ventures, LLC | Member | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237 |
| Name | Role | Address |
|---|---|---|
| Life Care Services, LLC, Health Center Adm | Auth | 4600 S Syracuse Street, Ste 500, Denver, CO, 80237 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000099720 | CYPRESS VILLAGE | EXPIRED | 2014-10-01 | 2024-12-31 | No data | 4600 MIDDLETON PARK CIRCLE EAST, JACKSONVILLE, FL, 32224 |
| G14000099719 | THE INN AT CYPRESS VILLAGE | EXPIRED | 2014-10-01 | 2024-12-31 | No data | 4600 MIDDLETON PARK CIRCLE, E., JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-24 | 4600 S Syracuse Street, Ste 500, Denver, CO 80237 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-24 | 4600 S Syracuse Street, Ste 500, Denver, CO 80237 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-02 | CT CORPORATION SYSTEM | No data |
| REINSTATEMENT | 2020-10-02 | No data | No data |
| REVOKED FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2020-03-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-02-10 | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2020-02-10 | No data | No data |
| LC STMNT OF RA/RO CHG | 2016-10-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-04-24 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-04-24 |
| REINSTATEMENT | 2020-10-02 |
| LC Amendment | 2020-03-24 |
| CORLCRACHG | 2020-02-10 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
