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FMHR LLC - Florida Company Profile

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Company Details

Entity Name: FMHR LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Aug 2014 (11 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 25 Sep 2023 (2 years ago)
Document Number: L14000131304
FEI/EIN Number 47-1635834
Address: 390 NE 135th Street, Miami, FL, 33161, US
Mail Address: 390 NE 135th Street, Miami, FL, 33161, US
ZIP code: 33161
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
- Manager -
CHAVIN SAMUEL Manager 3300 LAUREL OAKS STREET, FORT LAUDERDALE, FL, 33312
BURSTEIN JONATHAN Manager 5647 BROOKFIELD CIRCLE E, FORT LAUDERDALE, FL, 33312

National Provider Identifier

NPI Number:
1720495120

Authorized Person:

Name:
SAMUEL CHAVIN
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
3058927411

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000094737 FOUNTAIN MANOR HEALTH & REHABILITATION CENTER ACTIVE 2025-07-31 2030-12-31 - 390 NE 135TH STREET, MIAMI, FL, 33161
G14000086645 FOUNTAIN MANOR HEALTH & REHABILITATION CENTER EXPIRED 2014-08-22 2024-12-31 - 390 NE 135TH STREET, MIAMI, FL, 33161

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-09-25 - -
REGISTERED AGENT ADDRESS CHANGED 2023-03-17 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 -
LC AMENDMENT 2018-08-17 - -
CHANGE OF PRINCIPAL ADDRESS 2015-04-03 390 NE 135th Street, Miami, FL 33161 -
CHANGE OF MAILING ADDRESS 2015-04-03 390 NE 135th Street, Miami, FL 33161 -
REGISTERED AGENT NAME CHANGED 2015-04-03 INCORP SERVICES, INC. -

Documents

Name Date
ANNUAL REPORT 2024-04-24
LC Amendment 2023-09-25
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-25
ANNUAL REPORT 2020-03-26
ANNUAL REPORT 2019-03-18
LC Amendment 2018-08-17
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-03-31

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1273700.00
Total Face Value Of Loan:
1273700.00
Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
1273700.00
Total Face Value Of Loan:
1273700.00

Paycheck Protection Program

Jobs Reported:
185
Initial Approval Amount:
$1,273,700
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,273,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,290,275.55
Servicing Lender:
CIBC Bank USA
Use of Proceeds:
Payroll: $1,273,700

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Date of last update: 02 Aug 2025

Sources: Florida Department of State