| Entity Name: | GENESIS HEALTH & REHAB, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 29 Dec 2011 (13 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | L11000145265 |
| FEI/EIN Number | 45-4199777 |
| Address: | 4502 Old Mabry PL NE, Roswell, GA 30075 |
| Mail Address: | 4502 Old Mabry PL NE, Roswell, GA 30075 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982974820 | 2012-01-10 | 2012-01-10 | 1900 DERITA RD STE 103, CONCORD, NC, 280273355, US | 8380 SW 124TH ST, MIAMI, FL, 331565835, US | |||||||||||||||||||||||||
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| Phone | +1 980-200-4259 |
| Fax | 4043826005 |
| Phone | +1 305-238-4800 |
Authorized person
| Name | MR. STEPHEN WRIGHT |
| Role | CONTROLLER |
| Phone | 9802004259 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NADEL, BRETT D | Agent | 5941 SW 96 ST, MIAMI, FL 33156 |
| Name | Role | Address |
|---|---|---|
| NADEL, BRETT | Managing Member | 4502 Old Mabry PL NE, Roswell, GA 30075 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-28 | 4502 Old Mabry PL NE, Roswell, GA 30075 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-28 | 4502 Old Mabry PL NE, Roswell, GA 30075 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-04-28 | 5941 SW 96 ST, MIAMI, FL 33156 | No data |
| REINSTATEMENT | 2014-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | NADEL, BRETT D | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-05-01 |
| ANNUAL REPORT | 2015-04-28 |
| REINSTATEMENT | 2014-09-30 |
| ANNUAL REPORT | 2013-04-30 |
| Florida Limited Liability | 2011-12-29 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
