| Entity Name: | BRANDON HEALTH OPCO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Jan 2022 (3 years ago) |
| Document Number: | M22000001281 |
| FEI/EIN Number | 87-4429757 |
| Address: | 701 VICTORIA ST., BRANDON, FL, 33510, US |
| Mail Address: | 701 VICTORIA ST., BRANDON, FL, 33510, US |
| ZIP code: | 33510 |
| County: | Hillsborough |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194477661 | 2022-01-25 | 2024-06-05 | 701 VICTORIA ST, BRANDON, FL, 335104100, US | 701 VICTORIA ST, BRANDON, FL, 335104100, US | |||||||||||||||||||||
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| Phone | +1 813-681-4220 |
| Fax | 8136895685 |
Authorized person
| Name | MATHEW VARGHESE |
| Role | MEMBER |
| Phone | 9178173530 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | 1577096 |
| State | FL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| YOSSY MARKOWITZ | Authorized Person | 1487 MCDONALD AVENUE, BROOKLYN, NY, 11230 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000096308 | VICTORIA CROSSING REHABILITATION CENTER | ACTIVE | 2023-08-17 | 2028-12-31 | No data | 701 VICTORIA STREET, BRANDON, FL, 33510 |
| G22000023442 | BRANDON CENTER FOR NURSING & REHABILITATION | ACTIVE | 2022-02-25 | 2027-12-31 | No data | 701 VICTORIA ST., BRANDON, FL, 33510 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-10-09 |
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-08-03 |
| Foreign Limited | 2022-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
