| Entity Name: | COCONUT CREEK REHAB LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 04 Oct 2010 (14 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | L10000103432 |
| FEI/EIN Number | 273602977 |
| Address: | 4125 W SAMPLE RD, COCONUT CREEK, FL, 33073 |
| Mail Address: | 4125 W SAMPLE RD, COCONUT CREEK, FL, 33073 |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093024317 | 2010-10-04 | 2011-09-12 | 4125 W SAMPLE RD, COCONUT CREEK, FL, 330734456, US | 4125 W SAMPLE RD, COCONUT CREEK, FL, 330734456, US | |||||||||||||||||
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| Phone | +1 954-968-8333 |
| Fax | 9549686898 |
Authorized person
| Name | JOHN E WARREN |
| Role | MGR |
| Phone | 9549688333 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Burke Mike Esq. | Agent | 16215 Panama City Beach Parkway, PANAMA CITY BEACH, FL, 32413 |
| Name | Role |
|---|---|
| HEALTH PROPERTIES LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000096004 | THE HEALTH CENTER OF COCONUT CREEK | EXPIRED | 2010-10-18 | 2015-12-31 | No data | 4125 W SAMPLE RD, COCONUT CREEK, FL, 33073-4456 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-10 | Burke, Mike, Esq. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-10 | 16215 Panama City Beach Parkway, PANAMA CITY BEACH, FL 32413 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-26 |
| AMENDED ANNUAL REPORT | 2014-04-10 |
| ANNUAL REPORT | 2014-03-17 |
| ANNUAL REPORT | 2013-04-17 |
| ANNUAL REPORT | 2012-03-22 |
| ANNUAL REPORT | 2011-01-25 |
| Florida Limited Liability | 2010-10-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
