| Entity Name: | SURREY PLACE NURSING CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2022 (3 years ago) |
| Document Number: | M22000010520 |
| FEI/EIN Number | 883184094 |
| Address: | 300 Provider Court, Richmond, FL, 40475, US |
| Mail Address: | 110 SE LEE AVE, LIVE OAK, FL, 32064, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730815226 | 2022-07-27 | 2022-07-27 | 110 LEE AVE SE, LIVE OAK, FL, 320649504, US | 110 LEE AVE SE, LIVE OAK, FL, 320649504, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 386-364-5961 |
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 AVE, BROOKLYN, NY, 11234 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000094136 | SURREY PLACE NURSING CENTER | ACTIVE | 2022-08-10 | 2027-12-31 | No data | 110 SOUTHEAST LEE AVE, LIVE OAK, FL, 32064 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-28 | 300 Provider Court, Richmond, FL 40475 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-01-20 |
| Foreign Limited | 2022-07-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
