| Entity Name: | WEST ALTAMONTE OPCO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Mar 2022 (3 years ago) |
| Document Number: | M22000003782 |
| FEI/EIN Number | 87-4429629 |
| Address: | 1099 WEST TOWN PKWY., ALTAMONTE SPRINGS, FL 32714 |
| Mail Address: | 1099 WEST TOWN PKWY., ALTAMONTE SPRINGS, FL 32714 |
| ZIP code: | 32714 |
| County: | Seminole |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790437192 | 2022-01-26 | 2022-01-26 | 1099 W TOWN PKWY, ALTAMONTE SPRINGS, FL, 327143845, US | 1099 W TOWN PKWY, ALTAMONTE SPRINGS, FL, 327143845, US | |||||||||||||||||||||
|
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| Phone | +1 407-865-8000 |
| Fax | 4078657288 |
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 | 1017096 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kolman, Robert | Agent | 1099 WEST TOWN PKWY., ALTAMONTE SPRINGS, FL 32714 |
| Name | Role |
|---|---|
| WEST ALTAMONTE MEMBER, LLC | Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000021934 | WEST ALTAMONTE NURSING AND REHABILITATION CENTER | ACTIVE | 2023-02-15 | 2028-12-31 | No data | 1099 W TOWN PKWY, ALTAMONTE SPRINGS, FL, 34217 |
| G22000041422 | WEST ALTAMONTE NURSING & REHABILITATION CENTER | ACTIVE | 2022-04-01 | 2027-12-31 | No data | 1099 W. TOWN PARKWAY, ALTAMONTE SPRINGS, FL, 32714 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-12 | Kolman, Robert | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-12 | 1099 WEST TOWN PKWY., ALTAMONTE SPRINGS, FL 32714 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-03-12 |
| Foreign Limited | 2022-03-11 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | 36C24823D0047 | 2023-03-12 | No data | No data | |||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 2500000.00 |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | WEST ALTAMONTE OPCO, LLC |
| UEI | MGHBHMJHLX84 |
| Recipient Address | UNITED STATES, 1099 W TOWN PKWY, ALTAMONTE SPRINGS, SEMINOLE, FLORIDA, 327143845 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
