| Entity Name: | LTCSP-PLANT CITY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LTCSP-PLANT CITY, 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: | 07 Apr 2004 (21 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 22 Feb 2016 (9 years ago) |
| Document Number: | L04000026299 |
| FEI/EIN Number |
20-1434703
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1665 Palm Beach Lakes Blvd., Suite 400, West Palm Beach, FL, 33401, US |
| Mail Address: | 1665 Palm Beach Lakes Blvd., Suite 400, West Palm Beach, FL, 33401, US |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447255534 | 2005-06-16 | 2013-12-21 | 1675 PALM BEACH LAKES BLVD, SUITE 900, WEST PALM BEACH, FL, 33401, US | 2202 W OAK AVE, PLANT CITY, FL, 335637222, US | |||||||||||||||||||||||||||
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| Phone | +1 561-801-7600 |
| Phone | +1 813-754-3761 |
| Fax | 8137545301 |
Authorized person
| Name | HOWARD JAFFE |
| Role | PRESIDENT |
| Phone | 2153466454 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1099096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 028191300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Jaffe Howard | Manager | 1665 Palm Beach Lakes Blvd., West Palm Beach, FL, 33401 |
| C T CORPORATION SYSTEM | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000050445 | COMMUNITY CONVALESCENT CENTER | ACTIVE | 2016-05-19 | 2026-12-31 | - | 2202 WEST OAK AVEUNE, PLANT CITY, FL, 33563 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-06 | 1665 Palm Beach Lakes Blvd., Suite 400, West Palm Beach, FL 33401 | - |
| CHANGE OF MAILING ADDRESS | 2024-03-06 | 1665 Palm Beach Lakes Blvd., Suite 400, West Palm Beach, FL 33401 | - |
| LC STMNT OF RA/RO CHG | 2016-02-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-02-22 | C T CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-22 | 1200 SOUTH PINE ISLAND ROAD, SUITE 1550, PLANTATION, FL 33324 | - |
| NAME CHANGE AMENDMENT | 2004-05-10 | LTCSP-PLANT CITY, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-06 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-04-04 |
| AMENDED ANNUAL REPORT | 2021-06-15 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-30 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA24813A0032 | 2013-04-01 | - | - | |||||||||||||||||||||
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| Title | IGF::CT::IGF CERTIFIED NURSING HOME COMMUNITY CARE CENTER 1 APRIL 2013 THRU 31 MARCH 2018 |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | LTCSP-PLANT CITY, LLC |
| UEI | VAAUE9Q9HMK5 |
| Legacy DUNS | 627865830 |
| Recipient Address | 2202 W OAK AVE, PLANT CITY, 335637222, UNITED STATES |
| Unique Award Key | CONT_AWD_VA24812JT015_3600_VA248BO0212_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | IGF::CT::IGF CRITICAL FUNCTION: NURSING HOME CONTRACT FY 12 EXPENDITURES |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: MEDICAL- NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | LTCSP-PLANT CITY, LLC |
| UEI | VAAUE9Q9HMK5 |
| Legacy DUNS | 627865830 |
| Recipient Address | 2202 W OAK AVE, PLANT CITY, 335637222, UNITED STATES |
| Unique Award Key | CONT_IDV_VA248BO0212_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | NURSING HOME CONTRACT |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | LTCSP-PLANT CITY, LLC |
| UEI | VAAUE9Q9HMK5 |
| Legacy DUNS | 627865830 |
| Recipient Address | 2202 W OAK AVE, PLANT CITY, 335637222, UNITED STATES |
Date of last update: 03 May 2025
Sources: Florida Department of State
