| Entity Name: | LAKE PARKER SNF OPERATIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Sep 2021 (3 years ago) |
| Document Number: | M21000011806 |
| FEI/EIN Number | 87-2396227 |
| Address: | 1487 McDonald Avenue, BROOKLYN, NY, 11230, US |
| Mail Address: | 1487 McDonald Avenue, BROOKLYN, NY, 11230, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659048353 | 2021-08-30 | 2022-09-12 | 2020 W LAKE PARKER DR, LAKELAND, FL, 338055005, US | 2020 W LAKE PARKER DR, LAKELAND, FL, 338055005, US | |||||||||||||
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| Phone | +1 863-682-7580 |
Authorized person
| Name | JOEL LEIFER |
| Role | MEMBER |
| Phone | 7187056740 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAKE PARKER SNF OPERATIONS LLC 401(K) PLAN | 2023 | 872396227 | 2024-07-23 | LAKE PARKER SNF OPERATIONS LLC | 57 | |||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-23 |
| Name of individual signing | AARON KAUFMAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL, 33324 |
| Name | Role |
|---|---|
| LAKE PARKER SNF OPERATIONS HOLDINGS LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000007970 | CHARMING LAKES REHAB | ACTIVE | 2022-01-21 | 2027-12-31 | No data | 1463 66TH STREET, BROOKLYN, NY, 11218 |
| G21000146044 | LAKE PARKER CENTER FOR REHABILITATION AND HEALING | ACTIVE | 2021-11-01 | 2026-12-31 | No data | 267 BROADWAY, BROOKLYN, NY, 11211 |
| G21000116628 | LAKE PARKER CENTER FOR REHABILITATION & HEALING | ACTIVE | 2021-09-10 | 2026-12-31 | No data | 267 BROADWAY, BROOKLYN, NY, 11211 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-18 | 1487 McDonald Avenue, BROOKLYN, NY 11230 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-18 | 1487 McDonald Avenue, BROOKLYN, NY 11230 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-07-18 |
| ANNUAL REPORT | 2022-04-27 |
| Foreign Limited | 2021-09-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
