| Entity Name: | LTCSP-PASADENA, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 05 Apr 2004 (21 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L04000025559 |
| FEI/EIN Number | 201434678 |
| Address: | 1430 PASADENA AVE S, SOUTH PASADENA, FL, 33707, US |
| Mail Address: | C/O SPECTOR GADON & ROSEN LLP, 360 CENTRAL AVENUE SUITE 1550, ST. PETERSBURG, FL, 33701, US |
| ZIP code: | 33707 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1124022603 | 2005-06-13 | 2012-10-05 | 1675 PALM BEACH LAKES BLVD, SUITE 900, WEST PALM BEACH, FL, 33401, US | 1430 PASADENA AVE S, SOUTH PASADENA, FL, 337073716, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-801-7600 |
| Fax | 4142684811 |
| Phone | +1 727-347-1257 |
| Fax | 7273815407 |
Authorized person
| Name | HOWARD JAFFE |
| Role | PRESIDENT |
| Phone | 2153466454 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF14320962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028189100 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| JAFFE HOWARD | Administrator | TWO BALA PLAZA, SUITE 300, BALA CYNWYD, PA, 19004 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-21 | C T CORPORATION SYSTEM | No data |
| REINSTATEMENT | 2016-10-21 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-22 | 1200 SOUTH PINE ISLAND ROAD, SUITE 1550, PLANTATION, FL 33324 | No data |
| LC STMNT OF RA/RO CHG | 2016-02-22 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-09 | 1430 PASADENA AVE S, SOUTH PASADENA, FL 33707 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-06-16 | 1430 PASADENA AVE S, SOUTH PASADENA, FL 33707 | No data |
| NAME CHANGE AMENDMENT | 2004-05-10 | LTCSP-PASADENA, LLC | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2016-10-21 |
| CORLCRACHG | 2016-02-22 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-28 |
| ANNUAL REPORT | 2013-04-09 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-04-15 |
| ANNUAL REPORT | 2010-04-26 |
| ANNUAL REPORT | 2009-04-24 |
| ANNUAL REPORT | 2008-04-18 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
