| Entity Name: | EAGLE LAKE REHAB & NURSING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EAGLE LAKE REHAB & NURSING, 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: | 20 Oct 2011 (14 years ago) |
| Date of dissolution: | 11 Mar 2019 (6 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 11 Mar 2019 (6 years ago) |
| Document Number: | L11000119901 |
| FEI/EIN Number |
453676701
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 24671 US HWY 19 N, CLEARWATER, FL, 33763, US |
| Mail Address: | 24671 US HWY 19 N, CLEARWATER, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164798104 | 2012-03-23 | 2012-03-23 | 1100 66TH ST N, ST PETERSBURG, FL, 337106224, US | 1100 66TH ST N, ST PETERSBURG, FL, 337106224, US | |||||||||||||||||||
|
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| Phone | +1 727-345-9331 |
| Fax | 7273457064 |
Authorized person
| Name | MS. LYNDA HEBBELN |
| Role | CFO |
| Phone | 7277233021 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF15650961 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CAREEN, LLC | Manager | - |
| EAGLE LAKE HOLDING GROUP, LLC | Managing Member | - |
| BLOOM AARON S | Agent | 24671 US HWY 19 N, CLEARWATER, FL, 33763 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000067326 | EAGLE LAKE REHAB & CARE CENTER | EXPIRED | 2013-07-03 | 2018-12-31 | - | 24641 US HWY 19 N, CLEARWATER, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-11 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-12 | 24671 US HWY 19 N, CLEARWATER, FL 33763 | - |
| CHANGE OF MAILING ADDRESS | 2015-03-12 | 24671 US HWY 19 N, CLEARWATER, FL 33763 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-12 | 24671 US HWY 19 N, CLEARWATER, FL 33763 | - |
| LC AMENDMENT | 2013-08-21 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-06-11 | BLOOM, AARON S | - |
| LC AMENDMENT | 2013-06-11 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000879677 | TERMINATED | 1000000501108 | PINELLAS | 2013-04-24 | 2023-05-03 | $ 850.37 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CLEARWATER SERVICE CENTER, 19337 US HIGHWAY 19 N STE 200, CLEARWATER FL337643149 |
| J13000537622 | TERMINATED | 1000000451799 | LEON | 2013-02-27 | 2033-03-06 | $ 300.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J13000619263 | LAPSED | 1000000451862 | PALM BEACH | 2013-02-27 | 2023-03-27 | $ 1,581.18 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149 |
| J13000418856 | ACTIVE | 1000000451798 | BROWARD | 2013-02-11 | 2033-02-13 | $ 1,907.64 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2019-03-11 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-20 |
| ANNUAL REPORT | 2015-03-12 |
| ANNUAL REPORT | 2014-02-04 |
| LC Amendment | 2013-08-21 |
| LC Amendment | 2013-06-11 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-04-27 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
