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LAKESIDE SNF, LLC - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role Address
Choquette Elizabeth Agent 1962 Vandolah Road, Wauchula, FL, 33873
LAKESIDE OPCO, INC. Member -

Fictitious Names

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

Events

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 -

Documents

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