| Entity Name: | GULFPORT NURSING CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jul 2022 (3 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Oct 2023 (a year ago) |
| Document Number: | M22000010507 |
| FEI/EIN Number | 88-3151275 |
| Address: | 1430 PASADENA AVENUE S, ST PETERSBURG, FL 33707 |
| Mail Address: | 1430 PASADENA AVENUE S, ST PETERSBURG, FL 33707 |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548995863 | 2022-07-20 | 2022-07-20 | 1430 PASADENA AVE S, SOUTH PASADENA, FL, 337073716, US | 1430 PASADENA AVE S, SOUTH PASADENA, FL, 337073716, US | |||||||||||||||||||||
|
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| Phone | +1 727-344-8525 |
| Fax | 8558879751 |
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 | 14320962 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Klein, Yoel | Agent | 115 NORTH CALHOUN ST., SUITE 4, TALLAHASSEE, FL 32301 |
| Name | Role | Address |
|---|---|---|
| SCHLANGER, ALAN | Authorized Person | 6085 STRICKLAND AVENUE, BROOKLYN, NY 11234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2023-10-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-10-18 | Klein, Yoel | No data |
| REVOKED FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| REINSTATEMENT | 2023-10-18 |
| Foreign Limited | 2022-07-07 |
Date of last update: 12 Jan 2025
Sources: Florida Department of State
