Entity Name: | SOUTHERN OAKS FACILITY INC |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 30 Mar 2015 (10 years ago) |
Document Number: | P15000029320 |
FEI/EIN Number | 47-3857500 |
Address: | 600 W. Gregory St., Pensacola, FL, 32502-4744, US |
Mail Address: | 600 W. Gregory St., Pensacola, FL, 32502-4744, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295112258 | 2015-04-29 | 2015-04-29 | 4302 HOLLYWOOD BLVD, #369, HOLLYWOOD, FL, 330216635, US | 600 W GREGORY ST, PENSACOLA, FL, 325024744, US | |||||||||||||||||
|
Phone | +1 850-437-3131 |
Authorized person
Name | MR. MICHAEL BLEICH |
Role | AUTHORIZED REPRESENTATIVE |
Phone | 8456418314 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF1556096 |
State | FL |
Is Primary | Yes |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY | Agent |
Name | Role |
---|---|
WEST GREGORY STREET CARE INC | Director |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000042802 | SOUTHERN OAKS CARE CENTER | ACTIVE | 2015-04-29 | 2025-12-31 | No data | 4302 HOLLYWOOD BOULEVARD #369, HOLLYWOOD, FL, 33021 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-03-24 | 600 W. Gregory St., Pensacola, FL 32502-4744 | No data |
CHANGE OF MAILING ADDRESS | 2023-03-24 | 600 W. Gregory St., Pensacola, FL 32502-4744 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-05-01 |
ANNUAL REPORT | 2023-03-24 |
ANNUAL REPORT | 2022-02-22 |
ANNUAL REPORT | 2021-03-16 |
ANNUAL REPORT | 2020-02-10 |
AMENDED ANNUAL REPORT | 2019-03-26 |
ANNUAL REPORT | 2019-01-09 |
ANNUAL REPORT | 2018-01-17 |
ANNUAL REPORT | 2017-02-02 |
ANNUAL REPORT | 2016-04-12 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State