| Entity Name: | DIXIE HIGHWAY SNF LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DIXIE HIGHWAY SNF 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: | 22 Oct 2012 (13 years ago) |
| Date of dissolution: | 28 Jun 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 28 Jun 2020 (5 years ago) |
| Document Number: | L12000134255 |
| FEI/EIN Number |
46-1236674
Federal Employer Identification (FEI) Number assigned by the IRS. |
| 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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073866166 | 2012-10-26 | 2012-12-06 | 1835 NE MIAMI GARDENS DR # 368, NORTH MIAMI BEACH, FL, 331795035, US | 715 E DIXIE AVE, LEESBURG, FL, 347485926, US | |||||||||||||||||||||
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| Phone | +1 352-728-3020 |
| Fax | 3527286071 |
Authorized person
| Name | MR. TZVI BOGOMILSKY |
| Role | AUTHORIZED MEMBER |
| Phone | 3054031400 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025295600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOGOMILSKY TZVI | Managing Member | 400 Rella Blvd, Montebello, NY, 10901 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000110118 | SOUTH CAMPUS REHABILITATION AND NURSING CENTER | EXPIRED | 2012-11-14 | 2017-12-31 | - | 1835 NE MIAMI GARDENS DRIVE #368, NORTH MIAMI BEACH, FL, 33179 |
| G12000103186 | LEESBURG HEALTH AND REHABILITATION CENTER | EXPIRED | 2012-10-23 | 2017-12-31 | - | 1835 NE MIAMI GARDENS DRIVE #368, NORTH MIAMI BEACH, FL, 33179 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-11 | 400 Rella Blvd, #200, Montebello, NY 10901 | - |
| CHANGE OF MAILING ADDRESS | 2018-04-11 | 400 Rella Blvd, #200, Montebello, NY 10901 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-06-28 |
| ANNUAL REPORT | 2019-04-10 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-03-22 |
| ANNUAL REPORT | 2015-04-17 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-01-28 |
| Florida Limited Liability | 2012-10-22 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
