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LAKE BENNET SNF OPERATIONS LLC

Company Details

Entity Name: LAKE BENNET SNF OPERATIONS LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 22 Nov 2021 (3 years ago)
Document Number: M21000015673
FEI/EIN Number 873507676
Address: 2123 CENTRE POINTE BLVD, tallahassee, FL, 32308, US
Mail Address: 2123 CENTRE POINTE BLVD, tallahassee, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1316603277 2021-11-15 2021-12-15 1091 KELTON AVE, OCOEE, FL, 347613162, US 1091 KELTON AVE, OCOEE, FL, 347613162, US

Contacts

Phone +1 407-523-0300

Authorized person

Name SOLOMON KLEIN
Role MEMBER
Phone 3479091811

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
C T CORPORATION SYSTEM Agent

Member

Name Role
LAKE BENNET SNF OPERATIONS HOLDINGS LLC Member

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000156227 LAKE BENNET CENTER FOR REHABILITATION & HEALING ACTIVE 2021-11-23 2026-12-31 No data 1091 KELTON AVE, OCOEE, FL, 34761

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-10-26 2123 CENTRE POINTE BLVD, tallahassee, FL 32308 No data
CHANGE OF MAILING ADDRESS 2023-10-02 2123 CENTRE POINTE BLVD, tallahassee, FL 32308 No data

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-04-27
Foreign Limited 2021-11-22

Date of last update: 01 Feb 2025

Sources: Florida Department of State