| Entity Name: | LAKELAND OAKS NH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2014 (10 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 |
| County: | Pinellas |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912465923 | 2019-03-08 | 2024-03-11 | 4042 PARK OAKS BLVD STE 300, TAMPA, FL, 336109539, US | 855 CARPENTERS WAY, LAKELAND, FL, 33809, US | |||||||||||||||
|
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| Phone | +1 813-635-9500 |
| Fax | 8136350008 |
Authorized person
| Name | ASHLEY ANN PETERS |
| Role | VICE PRESIDENT |
| Phone | 8134157589 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Stohr Gerry-Lynn | Vice President | 4042 Park Oaks Boulevard, Tampa, FL, 33610 |
| Peters Ashley | Vice President | 4042 Park Oaks Boulevard, Tampa, FL, 33610 |
| Rosa Jean | Vice President | 4042 Park Oaks Boulevard, Tampa, FL, 33610 |
| 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 | No data | 740 4TH STREET NORTH #358, ST.PETERSBURG, FL, 33701 |
| G20000064482 | LAKE GIBSON VILLAGE HEALTH AND REHABILITATION CENTER | ACTIVE | 2020-06-09 | 2025-12-31 | No data | 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 | No data | 4042 PARK OAKS BLVD., SUITE 300, TAMPA, FL, 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-08 | 740 4TH STREET NORTH #358, ST PETERSBURG, FL 33701 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-08 | 740 4TH STREET NORTH #358, ST PETERSBURG, FL 33701 | No data |
| 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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
