| Entity Name: | PINELLAS PARK SNF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Jun 2009 (16 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: | L09000061141 |
| FEI/EIN Number | 270506006 |
| 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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932338076 | 2009-07-10 | 2009-07-10 | 368 NEW HEMPSTEAD RD, #309, NEW CITY, NY, 109561900, US | 6767 86TH AVE, PINELLAS PARK, FL, 337824597, US | |||||||||||||||||||||
|
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| Phone | +1 727-548-5566 |
| Fax | 7275486644 |
Authorized person
| Name | MR. JACOB KARMEL |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8453711700 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 026435100 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BOGOMILSKY TZVI | Managing Member | 400 Rella Blvd, Montebello, NY, 10901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000132927 | GULF SHORE REHABILITATION AND NURSING CENTER | EXPIRED | 2009-07-09 | 2014-12-31 | No data | 1835 NE MIAMI GARDENS DRIVE #368, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-10 | 400 Rella Blvd, #200, Montebello, NY 10901 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-10 | 400 Rella Blvd, #200, Montebello, NY 10901 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-27 | Corporation Service Company | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-27 | 1201 Hays Street, Tallahassee, FL 32301 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-29 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-18 |
| ANNUAL REPORT | 2015-04-16 |
| ANNUAL REPORT | 2014-02-27 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-04-02 |
| ANNUAL REPORT | 2011-04-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
