| Entity Name: | CHAUTAUQUA SPRINGS HEALTH CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jul 2022 (3 years ago) |
| Document Number: | M22000010492 |
| FEI/EIN Number | 88-3208098 |
| Address: | 300 PROVIDER COURT, RICHMOND, KY 40475 |
| Mail Address: | 785 SOUTH 2ND ST, DEFUNIAK SPRINGS, FL 32435 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235865726 | 2022-07-27 | 2022-07-27 | 785 S 2ND ST, DEFUNIAK SPRINGS, FL, 324354903, US | 785 S 2ND ST, DEFUNIAK SPRINGS, FL, 324354903, US | |||||||||||||
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| Phone | +1 850-892-2176 |
Authorized person
| Name | MAYER FISCHL |
| Role | CFO |
| Phone | 7187576399 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SCHLANGER, ALAN | Authorized Person | 6085 STRICKLAND AVENUE, BROOKLYN, NY 11234 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000094143 | CHAUTAUQUA SPRINGS HEALTH CENTER | ACTIVE | 2022-08-10 | 2027-12-31 | No data | 785 SOUTH 2ND ST, DEFUNIAK SPRINGS, FL, 32435 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-28 | 300 PROVIDER COURT, RICHMOND, KY 40475 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-20 |
| Foreign Limited | 2022-07-07 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | 36C25620D0040 | 2020-05-01 | No data | No data | |||||||||||||||||||||||
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| Obligated Amount | 0.00 |
| Potential Award Amount | 6000000.00 |
Description
| Title | COMMUNITY NURSING HOME |
| 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 | CHAUTAUQUA SPRINGS HEALTH CENTER LLC |
| UEI | G63KEVYWMTG5 |
| Recipient Address | UNITED STATES, 785 S 2ND ST, DEFUNIAK SPRINGS, WALTON, FLORIDA, 324354903 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
