| Entity Name: | OCEAN VIEW NURSING & REHABILITATION CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 14 Apr 2000 (25 years ago) |
| Document Number: | L00000004379 |
| FEI/EIN Number | 651002388 |
| Address: | 2810 SOUTH ATLANTIC AVE, NEW SMYRNA BEACH, FL, 32169 |
| Mail Address: | 5310 NW 33rd Ave Ste 211, Fort Lauderdale, FL, 33309, US |
| ZIP code: | 32169 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447217997 | 2006-04-27 | 2014-12-08 | 2810 S ATLANTIC AVE, NEW SMYRNA BEACH, FL, 321693446, US | 2810 S ATLANTIC AVE, NEW SMYRNA BEACH, FL, 321693446, US | |||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||
| Phone | +1 386-428-6424 |
| Fax | 3864280640 |
Authorized person
| Name | DAVID VINING |
| Role | ADMINISTRATOR |
| Phone | 3864286424 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF13860961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022635100 |
| State | FL |
| Issuer | BLUE CROSS PROVIDER NUMBE |
| Number | M47 |
| State | FL |
| Issuer | FLORIDA HEALTHCARE |
| Number | Y016 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Weisman Andrew | Agent | 5310 NW 33rd Ave Ste 211, Fort Lauderdale, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| Weisman Andrew | Member | 5310 NW 33rd Ave Ste 211, Fort Lauderdale, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-20 | 2810 SOUTH ATLANTIC AVE, NEW SMYRNA BEACH, FL 32169 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-01-20 | Weisman, Andrew | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-20 | 5310 NW 33rd Ave Ste 211, Fort Lauderdale, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-20 |
| AMENDED ANNUAL REPORT | 2022-12-02 |
| ANNUAL REPORT | 2022-01-18 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-01-29 |
| ANNUAL REPORT | 2019-02-05 |
| ANNUAL REPORT | 2018-04-06 |
| ANNUAL REPORT | 2017-01-30 |
| ANNUAL REPORT | 2016-03-07 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
