| Entity Name: | BREVARD HMA NURSING HOME, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BREVARD HMA NURSING HOME, 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: | 26 Jul 2010 (15 years ago) |
| Date of dissolution: | 23 May 2023 (2 years ago) |
| Last Event: | LC VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 May 2023 (2 years ago) |
| Document Number: | L10000078582 |
| FEI/EIN Number |
273142238
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4000 Meridian Boulevard, Franklin, TN, 37067, US |
| Mail Address: | 4000 Meridian Boulevard, Franklin, TN, 37067, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750348215 | 2006-04-28 | 2014-01-30 | 8050 SPYGLASS HILL RD, VIERA, FL, 329407983, US | 8050 SPYGLASS HILL RD, VIERA, FL, 329407983, US | |||||||||||||||||||||||
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| Phone | +1 321-752-1000 |
Authorized person
| Name | LAURIE HOLTSFORD |
| Role | AUTHORIZED OFFICIAL |
| Phone | 6154657466 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF16320961 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025347200 |
| State | FL |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0001554266 | 8050 SPYGLASS HILL ROAD, VIERA, FL, 32940 | 8050 SPYGLASS HILL ROAD, VIERA, FL, 32940 | 239-598-3131 | |||||||||||||||||||||||||
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| Form type | EFFECT |
| File number | 333-183203-55 |
| Filing date | 2012-08-30 |
| File | View File |
Filings since 2012-08-30
| Form type | 424B3 |
| File number | 333-183203-55 |
| Filing date | 2012-08-30 |
| File | View File |
Filings since 2012-08-10
| Form type | S-4 |
| File number | 333-183203-55 |
| Filing date | 2012-08-10 |
| File | View File |
| Name | Role | Address |
|---|---|---|
| Hammons Kevin J | Manager | 4000 Meridian Boulevard, Franklin, TN, 37067 |
| Pitt Justin D | Manager | 4000 Meridian Boulevard, Franklin, TN, 37067 |
| Cash W. B | Manager | 4000 Meridian Boulevard, Franklin, TN, 37067 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000089668 | THE WUESTHOFF PROGRESSIVE CARE CENTER | EXPIRED | 2010-09-30 | 2015-12-31 | - | 5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108 |
| G10000089828 | WUESTHOFF PROGRESSIVE CARE CENTER | EXPIRED | 2010-09-30 | 2015-12-31 | - | 5811 PELICAN BAY BLVD., SUITE 500, ATTN: LEGAL DEPARTMENT, NAPLES, FL, 34108 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC VOLUNTARY DISSOLUTION | 2023-05-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2019-04-25 | 4000 Meridian Boulevard, Franklin, TN 37067 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-25 | 4000 Meridian Boulevard, Franklin, TN 37067 | - |
| LC STMNT OF RA/RO CHG | 2014-02-25 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-02-25 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-02-25 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| Name | Date |
|---|---|
| LC Voluntary Dissolution | 2023-05-23 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-23 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-21 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
