Entity Name: | KEY WEST CONVALESCENT CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 01 Sep 1982 (42 years ago) |
Document Number: | F97828 |
FEI/EIN Number | 592227832 |
Mail Address: | PO Box 9, HARTSVILLE, TN, 37074, US |
Address: | 5860 COLLEGE ROAD, KEY WEST, FL, 33040, US |
ZIP code: | 33040 |
County: | Monroe |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851359137 | 2006-05-03 | 2008-10-24 | 5860 W. COLLEGE ROAD, KEY WEST, FL, 33040, US | 5860 W. COLLEGE ROAD, KEY WEST, FL, 33040, US | |||||||||||||||||||||||||
|
Phone | +1 305-296-2459 |
Fax | 3052969197 |
Authorized person
Name | MS. ROBERT M BECHT |
Role | PRESIDENT/OWNER |
Phone | 6153749144 |
Taxonomy
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | SNF1265096 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 020775600 |
State | FL |
Name | Role | Address |
---|---|---|
GORDON PATRICK | Agent | 10 BAY HARBOR ROAD, TEQUESTA, FL, 33469 |
Name | Role | Address |
---|---|---|
Becht Scott J | President | PO Box 9, HARTSVILLE, TN, 37074 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2005-10-21 | No data | No data |
AMENDMENT | 2003-03-04 | No data | No data |
REINSTATEMENT | 1985-12-10 | No data | No data |
AMENDMENT | 1985-12-10 | No data | No data |
INVOLUNTARILY DISSOLVED | 1984-11-21 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J11000261912 | LAPSED | 10-10072-CIV-MARTINEZ-BROWN | US DIST CT SO DIST FL MIAMI DI | 2011-02-18 | 2016-05-09 | $392,340.64 | OMNICARE PHARMACY OF FLORIDA, LP, 100 E. RIVERCENTER BOULEVARD, SUITE 1600, COVINGTON, KY 41011 |
J07900008421 | LAPSED | 2006-CA-1348-K | MONROE CIR CRT 16TH JUD CIR | 2007-02-23 | 2012-06-04 | $17924.01 | TBF FINANCIAL, LLC, 100 EXECUTIVE CENTER DR, SUITE 510, DEERFIELD, IL 60015 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State