| Entity Name: | PLANTATION NURSING & REHABILITATION CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PLANTATION NURSING & REHABILITATION CENTER, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Apr 2000 (25 years ago) |
| Document Number: | L00000004380 |
| FEI/EIN Number |
651002392
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4250 NW 5TH STREET, PLANTATION, FL, 33317 |
| Mail Address: | 4250 NW 5TH STREET, PLANTATION, FL, 33317 |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487681656 | 2006-06-26 | 2015-01-27 | 4250 NW FIFTH STREET, PLANTATION, FL, 333172160, US | 4250 NW FIFTH STREET, PLANTATION, FL, 333172160, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 954-587-3296 |
| Fax | 9545870664 |
Authorized person
| Name | MR. NEIL SUTTON |
| Role | ADMINISTRATOE |
| Phone | 9545873296 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1447096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS HEALTH OPTIONS |
| Number | LO4 |
| State | FL |
| Issuer | MEDICAID |
| Number | 022601700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEISMAN ANDREW S | Agent | 5310 NW 33RD AVENUE, FT LAUDERDALE, FL, 33309 |
| HBA HEALTH SYSTEMS, LLC | Manager | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000017243 | THE KIDZ KORNER | ACTIVE | 2019-02-01 | 2029-12-31 | - | 4250 NW 5 STREET, STE 211, PLANTATION, FL, 33317 |
| G12000092536 | THE KIDZ KORNER | EXPIRED | 2012-09-20 | 2017-12-31 | - | 4250 NW 5TH STREET, PLANTATION, FL, 33317 |
| G12000092529 | PLANTATION NURSING & REHAB CENTER | EXPIRED | 2012-09-20 | 2017-12-31 | - | 4250 NW 5TH STREET, PLANTATION, FL, 33317 |
| G11000043465 | PLANTATION NURSING & REHABILITATION CENTER | ACTIVE | 2011-05-05 | 2027-12-31 | - | 4250 NW 5TH STREET, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 4250 NW 5TH STREET, PLANTATION, FL 33317 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-18 |
| 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 |
| ANNUAL REPORT | 2015-02-24 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1369857301 | 2020-04-28 | 0455 | PPP | 5310 NW 33rd Ave Ste 211, FORT LAUDERDALE, FL, 33309-6319 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
