| Entity Name: | PLANTATION KEY CONVALESCENT CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 28 Dec 1982 (42 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 12 Feb 2008 (17 years ago) |
| Document Number: | G15564 |
| FEI/EIN Number | 59-2381085 |
| Mail Address: | PO Box 9, HARTSVILLE, TN 37074 |
| Address: | 48 HIGH POINT RD, TAVERNIER, FL 33070 |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376580712 | 2006-06-02 | 2008-10-24 | 48 HIGH POINT ROAD, TAVERNIER, FL, 33070, US | 48 HIGH POINT ROAD, TAVERNIER, FL, 33070, US | |||||||||||||||||||||||||
|
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| Phone | +1 305-852-3021 |
| Fax | 3052583721 |
Authorized person
| Name | MR. ROBERT M. BECHT |
| Role | PRESIDENT/OWNER |
| Phone | 6153749144 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1446096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 020890600 |
| 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 |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2022-05-25 | 48 HIGH POINT RD, TAVERNIER, FL 33070 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-05-01 | 10 BAY HARBOR ROAD, TEQUESTA, FL 33469 | No data |
| AMENDMENT | 2008-02-12 | No data | No data |
| AMENDMENT | 2005-10-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2004-03-15 | 48 HIGH POINT RD, TAVERNIER, FL 33070 | No data |
| REGISTERED AGENT NAME CHANGED | 2004-03-15 | GORDON, PATRICK | No data |
| REINSTATEMENT | 1984-03-28 | No data | No data |
| INVOLUNTARILY DISSOLVED | 1983-11-10 | No data | No data |
| NAME CHANGE AMENDMENT | 1983-02-22 | PLANTATION KEY CONVALESCENT CENTER, INC. | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000613431 | LAPSED | 1000000432703 | PALM BEACH | 2013-02-20 | 2023-03-27 | $ 64,850.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J13000226796 | LAPSED | 1000000304250 | PALM BEACH | 2012-12-27 | 2023-01-30 | $ 1,804.40 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J02000431332 | TERMINATED | 0000486528 | 14267 00261 | 2002-10-15 | 2022-10-30 | $ 46,535.45 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, W. PALM BEACH SERVICE CENTER, 2468 METROCENTRE BLVD., WEST PALM BEACH, FL334073199 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-05-25 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-07-02 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-05-13 |
Date of last update: 05 Feb 2025
Sources: Florida Department of State
