| Entity Name: | SOUTH CAMPUS FACILITY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Mar 2015 (10 years ago) |
| Document Number: | P15000029317 |
| FEI/EIN Number | 47-3843317 |
| Address: | 715 East Dixie Avenue, Leesburg, FL, 34748, US |
| Mail Address: | 715 East Dixie Avenue, Leesburg, FL, 34748, US |
| ZIP code: | 34748 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629455779 | 2015-04-28 | 2015-05-05 | 4302 HOLLYWOOD BLVD, #369, HOLLYWOOD, FL, 330216635, US | 715 E DIXIE AVE, LEESBURG, FL, 347485926, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 352-728-3020 |
Authorized person
| Name | MR. MICHAEL BLEICH |
| Role | AUTHORIZED REPRESENTATIVE |
| Phone | 8456418314 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF12910961 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| EAST DIXIE AVENUE CARE INC | Director |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000084170 | SOUTH CAMPUS CARE CENTER | ACTIVE | 2021-06-24 | 2026-12-31 | No data | 4417 13TH STREET STE 180, SAINT CLOUD, FL, 34769 |
| G15000042304 | SOUTH CAMPUS CARE CENTER | EXPIRED | 2015-04-28 | 2020-12-31 | No data | 4302 HOLLYWOOD BOULEVARD #369, HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-07 | 1201 Hays street, Tallahassee, FL 32301-2525 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-28 | 715 East Dixie Avenue, Leesburg, FL 34748 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-28 | 715 East Dixie Avenue, Leesburg, FL 34748 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-13 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-02-02 |
| ANNUAL REPORT | 2016-04-12 |
| Domestic Profit | 2015-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
