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HAWTHORNE OCALA OPERATIONS LLC

Company Details

Entity Name: HAWTHORNE OCALA OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 05 Mar 2021 (4 years ago)
Document Number: M21000002532
FEI/EIN Number 86-1723436
Address: 267 BROADWAY, BROOKLYN, NY, 11211, US
Mail Address: 267 BROADWAY, BROOKLYN, NY, 11211, US
Place of Formation: DELAWARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619632171 2021-11-01 2021-11-01 4100 SW 33RD AVE, OCALA, FL, 344744466, US 4100 SW 33RD AVE, OCALA, FL, 344744466, US

Contacts

Phone +1 352-237-7773

Authorized person

Name SOLOMON KLEIN
Role MEMBER
Phone 3479091811

Taxonomy

Taxonomy Code 310400000X - Assisted Living Facility
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INFINITE CARE GROUP FACILITIES - SOUTH 401(K) PLAN 2023 861723436 2024-10-15 HAWTHORNE OCALA OPERATIONS LLC 1149
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 623000
Sponsor’s telephone number 2123061600
Plan sponsor’s address 4100 SW 33RD AVE, OCALA, FL, 34474

Signature of

Role Plan administrator
Date 2024-10-15
Name of individual signing MIRELLE MARCUCCI
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
C T CORPORATION SYSTEM Agent

Manager

Name Role
HAWTHORNE OPCO MANAGER LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000032661 HAWTHORNE CENTER FOR REHABILITATION AND HEALING OF OCALA ACTIVE 2021-03-09 2026-12-31 No data 1709 N TALIAFERRO AVENUE, TAMPA, FL, 33602
G21000032662 HAWTHORNE INN OF OCALA ACTIVE 2021-03-09 2026-12-31 No data 1709 N TALIAFERRO AVENUE, TAMPA, FL, 33602

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-11
ANNUAL REPORT 2022-03-30
Foreign Limited 2021-03-05

Date of last update: 01 Feb 2025

Sources: Florida Department of State