| Entity Name: | PINECREST CONVALESCENT CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PINECREST CONVALESCENT 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: | L00000004382 |
| FEI/EIN Number |
651002398
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 13650 NE 3RD CT, NORTH MIAMI, FL, 33161 |
| Mail Address: | 13650 NE 3RD CT, NORTH MIAMI, FL, 33161 |
| ZIP code: | 33161 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871503417 | 2006-08-08 | 2015-01-27 | 13650 NE 3RD CT, NORTH MIAMI, FL, 331613626, US | 13650 NE 3RD CT, NORTH MIAMI, FL, 331613626, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-893-1170 |
| Fax | 3058992817 |
Authorized person
| Name | MR. DAVID GOLD |
| Role | ADMINISTRATOR |
| Phone | 3058931170 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 13413 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | 14400961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022575400 |
| 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 |
|---|---|---|---|---|---|---|
| G11000043457 | PINECREST CONVALESCENT CENTER | EXPIRED | 2011-05-05 | 2016-12-31 | - | 13650 NE 3RD COURT, NORTH MIAMI, FL, 33161 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2011-04-27 | 13650 NE 3RD CT, NORTH MIAMI, FL 33161 | - |
| 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 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | 36C24825N0366 | 2025-02-16 | 2025-04-15 | 2025-04-15 | |||||||||||||||||||||||||
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| Obligated Amount | 250000.00 |
| Current Award Amount | 250000.00 |
| Potential Award Amount | 250000.00 |
Description
| Title | ESTIMATED NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | PINECREST CONVALESCENT CENTER LLC |
| UEI | C5QAL18MNJD9 |
| Recipient Address | UNITED STATES, 13650 NE 3RD CT, NORTH MIAMI, MIAMI-DADE, FLORIDA, 331613626 |
| Unique Award Key | CONT_AWD_36C24824N0327_3600_36C24823D0061_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 1947582.05 |
| Current Award Amount | 1947582.05 |
| Potential Award Amount | 1947582.05 |
Description
| Title | NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | PINECREST CONVALESCENT CENTER LLC |
| UEI | C5QAL18MNJD9 |
| Recipient Address | UNITED STATES, 13650 NE 3RD CT, NORTH MIAMI, MIAMI-DADE, FLORIDA, 331613626 |
| Unique Award Key | CONT_IDV_36C24823D0061_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 250000.00 |
| Potential Award Amount | 4000000.00 |
Description
| Title | ESTIMATED NURSING HOME SERVICES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME, LONG-TERM & ADULT DAY CARE SERVICES |
Recipient Details
| Recipient | PINECREST CONVALESCENT CENTER LLC |
| UEI | C5QAL18MNJD9 |
| Recipient Address | UNITED STATES, 13650 NE 3RD CT, NORTH MIAMI, MIAMI-DADE, FLORIDA, 331613626 |
| Unique Award Key | CONT_IDV_VA248BO0043_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME CARE FOR ELIGIBLE VA BENEFICIARIES. |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | PINECREST CONVALESCENT CENTER LLC |
| UEI | C5QAL18MNJD9 |
| Legacy DUNS | 610345415 |
| Recipient Address | 13650 NE 3RD CT, MIAMI, 331613626, UNITED STATES |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 306181777 | 0418800 | 2003-07-22 | 13650 N.E. 3RD COURT, NORTH MIAMI, FL, 33161 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 300499431 | 0418800 | 1998-08-18 | 13650 N.E. 3RD COURT, NORTH MIAMI, FL, 33161 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Type | Complaint |
| Activity Nr | 200675064 |
| Health | Yes |
Violation Items
| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C02 IA |
| Issuance Date | 1998-09-08 |
| Abatement Due Date | 1998-10-26 |
| Current Penalty | 700.0 |
| Initial Penalty | 1300.0 |
| Nr Instances | 1 |
| Gravity | 02 |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 F01 IIA |
| Issuance Date | 1998-09-08 |
| Abatement Due Date | 1998-09-25 |
| Nr Instances | 1 |
| Gravity | 02 |
| Citation ID | 01001C |
| Citaton Type | Serious |
| Standard Cited | 19101030 F05 |
| Issuance Date | 1998-09-08 |
| Abatement Due Date | 1998-10-26 |
| Nr Instances | 1 |
| Nr Exposed | 70 |
| Gravity | 02 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8724107100 | 2020-04-15 | 0455 | PPP | 5310 NW 33RD AVE Suite 211, FORT LAUDERDALE, FL, 33309-6376 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
