| Entity Name: | CCHI, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CCHI, 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: | 17 May 2005 (20 years ago) |
| Date of dissolution: | 06 Nov 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 06 Nov 2020 (4 years ago) |
| Document Number: | L05000048848 |
| FEI/EIN Number |
202866234
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 400 Second Ave NW, HICKORY, NC, 28601-6123, US |
| Mail Address: | PO BOX 2568, HICKORY, NC, 28603-2568, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174519300 | 2005-09-22 | 2008-06-25 | 583 NE 351 HWY, CROSS CITY, FL, 326283108, US | 583 NE 351 HWY, CROSS CITY, FL, 326283108, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-498-2005 |
| Fax | 3524982006 |
Authorized person
| Name | MRS. DONITA TANNENBAUM |
| Role | ADMINISTRATOR |
| Phone | 3524982005 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130470998 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE FACILITY MDS ID NUM |
| Number | 35960937 |
| State | FL |
| Issuer | MEDICAID |
| Number | 031215100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| INCORP SERVICES, INC. | Agent | - |
| TREFZGER CHARLES E | Managing Member | 400 Second Ave NW, HICKORY, NC, 286016123 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | - |
| REINSTATEMENT | 2020-11-06 | - | - |
| VOLUNTARY DISSOLUTION | 2020-11-06 | - | - |
| REGISTERED AGENT NAME CHANGED | 2020-11-06 | INCORP SERVICES INC | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-25 | 400 Second Ave NW, HICKORY, NC 28601-6123 | - |
| LC STMNT OF RA/RO CHG | 2016-05-13 | - | - |
| LC AMENDMENT | 2010-12-21 | - | - |
| LC AMENDMENT | 2008-11-05 | - | - |
| CHANGE OF MAILING ADDRESS | 2008-11-05 | 400 Second Ave NW, HICKORY, NC 28601-6123 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-11-06 |
| REINSTATEMENT | 2020-11-06 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-03-20 |
| ANNUAL REPORT | 2017-03-25 |
| CORLCRACHG | 2016-05-13 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-03-23 |
| ANNUAL REPORT | 2014-04-04 |
| ANNUAL REPORT | 2013-04-10 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
