| Entity Name: | PHOENIX HEALTHCARE PROPERTIES OF MANDARIN, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PHOENIX HEALTHCARE PROPERTIES OF MANDARIN, 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: | 11 Aug 2004 (21 years ago) |
| Date of dissolution: | 24 Sep 2021 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (4 years ago) |
| Document Number: | L04000059542 |
| FEI/EIN Number |
202694743
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 199 N. E. 89 STREET, EL PORTAL, FL, 33138 |
| Address: | 199 N. E. 89 Street, El Portal, FL, 33138, US |
| ZIP code: | 33138 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538192208 | 2006-07-08 | 2009-12-01 | 199 NE 89TH STREET, EL PORTAL, FL, 331383010, US | 10680 SAINT AUGUSTINE ROAD, JACKSONVILLE, FL, 322571000, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 305-759-4046 |
| Fax | 3057594056 |
| Phone | +1 904-268-4953 |
Authorized person
| Name | MR. DION R. SENA |
| Role | MANAGING MEMBER |
| Phone | 3057594046 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF13060961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 031237100 |
| State | FL |
| Issuer | BLUE CROSS INSURANCE |
| Number | L69 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SENA DION R | Managing Member | 199 N. E. 89 STREET, EL PORTAL, FL, 33138 |
| LEWIS PETER A | Agent | 3023 N Shannon Lakes Dr, TALLAHASSEE, FL, 32309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000001477 | SOUTHLAKE NURSING & REHABILITATION CENTER | EXPIRED | 2013-01-04 | 2018-12-31 | - | 10680 OLD ST. AUGUSTINE ROAD, JACKSONVILLE, FL, 32257 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-23 | 199 N. E. 89 Street, El Portal, FL 33138 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-03-27 | 3023 N Shannon Lakes Dr, Suite 101, TALLAHASSEE, FL 32309 | - |
| CHANGE OF MAILING ADDRESS | 2007-04-09 | 199 N. E. 89 Street, El Portal, FL 33138 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-02-26 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-02 |
| ANNUAL REPORT | 2017-04-04 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-03-23 |
| ANNUAL REPORT | 2014-03-27 |
| ANNUAL REPORT | 2013-03-18 |
| ANNUAL REPORT | 2012-01-31 |
| ANNUAL REPORT | 2011-02-24 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
