| Entity Name: | LAKESIDE SNF, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 29 Oct 2020 (4 years ago) |
| Document Number: | M20000009772 |
| FEI/EIN Number |
853765038
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1962 VANDOLAH RD., WAUCHULA, FL, 33873, US |
| Mail Address: | 1962 VANDOLAH ROAD, WAUCHULA, FL, 33873, US |
| ZIP code: | 33873 |
| County: | Hardee |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861093981 | 2020-11-04 | 2021-04-14 | 1962 VANDOLAH RD, WAUCHULA, FL, 338738726, US | 1962 VANDOLAH RD, WAUCHULA, FL, 338738726, US | |||||||||||||||
|
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| Phone | +1 863-773-2857 |
| Phone | +1 800-697-5390 |
Authorized person
| Name | DR. MANEESH BANSAL |
| Role | CEO |
| Phone | 8006975390 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Choquette Elizabeth | Agent | 1962 Vandolah Road, Wauchula, FL, 33873 |
| LAKESIDE OPCO, INC. | Member | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000146410 | LAKESIDE NEUROLOGIC | ACTIVE | 2020-11-13 | 2025-12-31 | - | 1962 VANDOLAH ROAD, WAUCHULA, FL, 33873 |
| G19000108473 | LAKESIDE NEUROLOGIC | ACTIVE | 2019-10-04 | 2029-12-31 | - | 1962 VANDOLAH ROAD, WAUCHULA, FL, 33873 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-05 | 1962 VANDOLAH RD., PO Box 1348, WAUCHULA, FL 33873 | - |
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 1962 VANDOLAH RD., PO Box 1348, WAUCHULA, FL 33873 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 1962 Vandolah Road, PO Box 1348, Wauchula, FL 33873 | - |
| REGISTERED AGENT NAME CHANGED | 2024-02-16 | Choquette, Elizabeth | - |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-23 |
| ANNUAL REPORT | 2021-03-25 |
| Foreign Limited | 2020-10-29 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
