| Entity Name: | BEAUCLERC MANOR HEALTH CARE ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BEAUCLERC MANOR HEALTH CARE ASSOCIATES, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 30 Jul 2001 (24 years ago) |
| Date of dissolution: | 01 Feb 2012 (13 years ago) |
| Last Event: | CORPORATE MERGER |
| Event Date Filed: | 01 Feb 2012 (13 years ago) |
| Document Number: | L01000012547 |
| FEI/EIN Number |
582639423
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 303 PERIMETER CENTER NORTH, SUITE 500, ATLANTA, GA, 30346, US |
| Address: | 9355 SAN JOSE BLVD., JACKSONVILLE, FL, 32257, US |
| ZIP code: | 32257 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134174451 | 2006-05-24 | 2013-05-26 | 9355 SAN JOSE BLVD, JACKSONVILLE, FL, 322575503, US | 9355 SAN JOSE BLVD, JACKSONVILLE, FL, 322575503, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 904-739-0877 |
| Fax | 9044489253 |
Authorized person
| Name | GWENDOLYN S. GAMEL |
| Role | MANAGER |
| Phone | 9047390877 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1047096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025205100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TOMACK JEFFREY H | Manager | 9355 SAN JOSE BLVD., JACKSONVILLE, FL, 32257 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000117909 | SAN JOSE HEALTH AND REHABILITATION CENTER | EXPIRED | 2009-06-11 | 2014-12-31 | - | 9355 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2012-02-01 | - | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS L11000131341. MERGER NUMBER 300000119903 |
| CHANGE OF MAILING ADDRESS | 2011-04-20 | 9355 SAN JOSE BLVD., JACKSONVILLE, FL 32257 | - |
| REGISTERED AGENT NAME CHANGED | 2005-04-11 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-11 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| AMENDED AND RESTATEDARTICLES | 2004-08-09 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2004-04-20 | 9355 SAN JOSE BLVD., JACKSONVILLE, FL 32257 | - |
| AMENDED AND RESTATEDARTICLES | 2004-04-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-04-20 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-02 |
| ANNUAL REPORT | 2006-04-13 |
| ANNUAL REPORT | 2005-04-29 |
| Reg. Agent Change | 2005-04-11 |
| Amended and Restated Articles | 2004-08-09 |
| ANNUAL REPORT | 2004-04-20 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
