| Entity Name: | NORTHERN JACKSONVILLE ENTERPRISE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 11 Jul 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L03000025330 |
| FEI/EIN Number | 200080467 |
| Address: | 12740 LANIER RD, JACKSONVILLE, FL, 32226, US |
| Mail Address: | 17001 NE 6 AVENUE, NORTH MIAMI BEACH, FL, 33162, US |
| ZIP code: | 32226 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952396269 | 2005-09-13 | 2009-05-21 | 12740 LANIER RD, JACKSONVILLE, FL, 322261704, US | 12740 LANIER RD, JACKSONVILLE, FL, 322261704, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-757-0600 |
| Fax | 9047577047 |
Authorized person
| Name | MR. NELSON ROBAINA JR. |
| Role | REIMBURSEMENT |
| Phone | 3058649191 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF12880962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022889300 |
| State | FL |
| Issuer | MEDICAID |
| Number | 0-268-003-00 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION | Agent | 1200 S. PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| Strohli Eli | Manager | 4523 Royal Palm Ave, Miami Beach, FL, 331403041 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-05 | 12740 LANIER RD, JACKSONVILLE, FL 32226 | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-20 | CT CORPORATION | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-20 | 1200 S. PINE ISLAND ROAD, SUITE 250, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-04-07 | 12740 LANIER RD, JACKSONVILLE, FL 32226 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-01-05 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-29 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-04-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
