| Entity Name: | LAKE WORTH SNF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
LAKE WORTH SNF 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: | 30 May 2007 (18 years ago) |
| Date of dissolution: | 29 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Jun 2020 (5 years ago) |
| Document Number: | L07000056880 |
| FEI/EIN Number |
260275933
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 400 Rella Blvd, #200, Montebello, NY, 10901, US |
| Mail Address: | 400 Rella Blvd, #200, Montebello, NY, 10901, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861691693 | 2007-07-12 | 2013-07-10 | 1835 NE MIAMI GARDENS DR, #368, NORTH MIAMI BEACH, FL, 331795035, US | 1711 6TH AVE S, LAKE WORTH, FL, 334604333, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-586-0808 |
| Fax | 5615858757 |
Authorized person
| Name | MR. TZVI BOGOMILSKY |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3054017901 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Taxonomy Code | 332BN1400X - Nursing Facility Supplies (DME) |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032503100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOGOMILSKY TZVI | Managing Member | 400 Rella Blvd, Montebello, NY, 10901 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000042040 | TERRACES OF LAKE WORTH REHABILITATION AND HEALTH CENTER | EXPIRED | 2013-05-01 | 2018-12-31 | - | 1835 NE MIAMI GARDENS DRIVE #368, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-29 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-11 | 400 Rella Blvd, #200, Montebello, NY 10901 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-11 | 400 Rella Blvd, #200, Montebello, NY 10901 | - |
| REGISTERED AGENT NAME CHANGED | 2009-01-27 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-27 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-29 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-04-17 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-04-05 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
