LAKELAND OAKS NH LLC - Florida Company Profile

Is this your business?

Get access!

Company Details

Entity Name:	LAKELAND OAKS NH LLC
Jurisdiction:	FLORIDA
Filing Type:	Foreign Limited Liability Co.
Status:	Active
Date Filed:	16 Oct 2014 (11 years ago)
Document Number:	M14000007524
FEI/EIN Number	38-3941860
Address:	740 4TH STREET NORTH #358, ST PETERSBURG, FL, 33701, US
Mail Address:	740 4TH STREET NORTH #358, ST PETERSBURG, FL, 33701, US
ZIP code:	33701
City:	Saint Petersburg
County:	Pinellas
Place of Formation:	DELAWARE

Key Officers & Management

Name	Role	Address
Stohr Gerry-Lynn	Vice President	740 4TH STREET NORTH #358, ST PETERSBURG, FL, 33701
Rosa Jean	Vice President	4042 Park Oaks Boulevard, Tampa, FL, 33610
-	Agent	-

Commercial and government entity program

CAGE number:

9A0Q2

Status:

Active

Type:

Non-Manufacturer

CAGE Update Date:

2024-06-29

CAGE Expiration:

2028-07-04

SAM Expiration:

2024-06-29

Contact Information

POC:

LAURA CROSSA

National Provider Identifier

NPI Number:

1912465923

Certification Date:

2024-03-11

Link:

View on NPI website

Authorized Person:

Name:

ASHLEY ANN PETERS

Role:

VICE PRESIDENT

Phone:

8134157589

Taxonomy:

Selected Taxonomy:

314000000X - Skilled Nursing Facility

Is Primary:

Yes

Contacts:

Phone:

+1 813-635-9500

Fax:

8136350008

Fictitious Names

Registration Number	Fictitious Name	Status	Filed Date	Expiration Date	Cancellation Date	Mailing Address
G21000166635	THE CLUB AT LAKE GIBSON	ACTIVE	2021-12-16	2026-12-31	-	740 4TH STREET NORTH #358, ST.PETERSBURG, FL, 33701
G20000064482	LAKE GIBSON VILLAGE HEALTH AND REHABILITATION CENTER	ACTIVE	2020-06-09	2025-12-31	-	4042 PARK OAKS BLVD. SUITE 300, TAMPA, FL, 33610
G18000081879	THE HEALTH AND REHABILITATION CENTER AT LAKE GIBSON VILLAGE	EXPIRED	2018-07-31	2023-12-31	-	4042 PARK OAKS BLVD., SUITE 300, TAMPA, FL, 33610

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2024-10-08	740 4TH STREET NORTH #358, ST PETERSBURG, FL 33701	-
CHANGE OF MAILING ADDRESS	2024-10-08	740 4TH STREET NORTH #358, ST PETERSBURG, FL 33701	-

Documents

Name	Date
ANNUAL REPORT	2024-04-04
ANNUAL REPORT	2023-04-28
AMENDED ANNUAL REPORT	2022-07-20
ANNUAL REPORT	2022-04-28
ANNUAL REPORT	2021-04-05
ANNUAL REPORT	2020-04-17
ANNUAL REPORT	2019-04-04
AMENDED ANNUAL REPORT	2018-07-19
ANNUAL REPORT	2018-03-27
ANNUAL REPORT	2017-03-20

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Aug 2025

Sources: Florida Department of State