| Entity Name: | WEST JACKSONVILLE CARE AND REHABILITATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
WEST JACKSONVILLE CARE AND REHABILITATION, 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: | 12 Aug 2015 (10 years ago) |
| Date of dissolution: | 27 Sep 2019 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (6 years ago) |
| Document Number: | L15000138113 |
| FEI/EIN Number |
47-5244108
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1650 FOURAKER ROAD, JACKSONVILLE, FL, 32221, US |
| Mail Address: | 505 MARLBORO ROAD, WOODRIDGE, NJ, 07075, US |
| ZIP code: | 32221 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902276744 | 2015-10-06 | 2016-07-08 | 1650 FOURAKER RD, JACKSONVILLE, FL, 322216725, US | 1650 FOURAKER RD, JACKSONVILLE, FL, 322216725, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 904-786-8668 |
Authorized person
| Name | JOSEPH SCHWARTZ |
| Role | AUTHORIZED REPRESENTATIVE |
| Phone | 7186920600 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015959400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WEST JACKSONVILLE HOLDING, LLC | Manager | - |
| LEWIS PETER AJR. | Agent | 3023 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 32309 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000093294 | WEST JACKSONVILLE CARE AND REHABILITATION CENTER | EXPIRED | 2015-09-10 | 2020-12-31 | - | 505 MARLBORO ROAD, WOODRIDGE, NJ, 07075 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000127546 | ACTIVE | 1000000815189 | DUVAL | 2019-02-11 | 2029-02-20 | $ 23,061.63 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-01-27 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-04-14 |
| Florida Limited Liability | 2015-08-12 |
Date of last update: 01 May 2025
Sources: Florida Department of State
