| Entity Name: | UNIVERSITY WEST REHABILITATION CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 19 Sep 2008 (16 years ago) |
| Date of dissolution: | 16 Apr 2020 (5 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 16 Apr 2020 (5 years ago) |
| Document Number: | L08000089232 |
| FEI/EIN Number | 26-3412294 |
| Address: | 1665 Palm Beach Lakes Blvd., Suite 600, West Palm Beach, FL 33401 |
| Mail Address: | 1665 Palm Beach Lakes Blvd., Suite 600, West Palm Beach, FL 33401 |
| ZIP code: | 33401 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760486518 | 2005-06-09 | 2012-10-05 | 1675 PALM BEACH LAKES BLVD, SUITE 900, WEST PALM BEACH, FL, 33401, US | 545 W EUCLID AVE, DELAND, FL, 327206771, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 561-801-7600 |
| Phone | +1 386-734-9085 |
| Fax | 3867347120 |
Authorized person
| Name | HOWARD JAFFE |
| Role | PRESIDENT |
| Phone | 2153466454 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1567096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 004168500 |
| State | FL |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| Jaffe, Howard | Manager | 1665 Palm Beach Lakes Blvd., Suite 600 West Palm Beach, FL 33401 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000107979 | UNIVERSITY CENTER WEST | EXPIRED | 2015-10-22 | 2020-12-31 | No data | 545 WEST EUCLID AVENUE, DELAND, FL, 32720 |
| G09090900067 | UNIVERSITY CENTER WEST | EXPIRED | 2009-03-30 | 2014-12-31 | No data | 545 WEST EUCLID AVENUE, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2020-04-16 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-30 | 1665 Palm Beach Lakes Blvd., Suite 600, West Palm Beach, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-30 | 1665 Palm Beach Lakes Blvd., Suite 600, West Palm Beach, FL 33401 | No data |
| LC STMNT OF RA/RO CHG | 2016-02-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-02-22 | C T CORPORATION SYSTEM | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-22 | 1200 SOUTH PINE ISLAND ROAD, SUITE 1550, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2020-04-16 |
| ANNUAL REPORT | 2019-03-30 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-13 |
| ANNUAL REPORT | 2016-04-30 |
| CORLCRACHG | 2016-02-22 |
| ANNUAL REPORT | 2015-04-28 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-02-26 |
| ANNUAL REPORT | 2012-04-16 |
Date of last update: 26 Jan 2025
Sources: Florida Department of State
