| Entity Name: | ATLANTIC CARE AND REHABILITATION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
ATLANTIC CARE AND REHABILITATION CENTER 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: | L15000138116 |
| FEI/EIN Number |
47-5314380
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 505 MARLBORO ROAD, WOODRIDGE, NJ, 07075, US |
| Address: | 3663 15TH AVENUE, VERO BEACH, FL, 32960, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851762876 | 2015-10-16 | 2016-07-08 | 3663 15TH AVE, VERO BEACH, FL, 329604868, US | 3663 15TH AVE, VERO BEACH, FL, 329604868, US | |||||||||||||||||||
|
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| Phone | +1 772-567-2552 |
Authorized person
| Name | PETER LEWIS |
| Role | AUTHORIZED REPRESENTATIVE |
| Phone | 8506687141 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 015959200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LEWIS PETER AJR. | Agent | 3023 N. SHANNON LAKES DRIVE, TALLAHASSEE, FL, 32309 |
| 15TH AVENUE HOLDINGS, LLC | Manager | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000093300 | ATLANTIC 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 | - | - |
| LC NAME CHANGE | 2015-10-27 | ATLANTIC CARE AND REHABILITATION CENTER LLC | - |
| LC AMENDMENT | 2015-08-31 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J19000445773 | ACTIVE | 1000000831359 | COLUMBIA | 2019-06-24 | 2029-06-26 | $ 5,475.15 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
| J18000809897 | ACTIVE | 1000000806622 | COLUMBIA | 2018-12-10 | 2028-12-12 | $ 635.91 | 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 |
| LC Name Change | 2015-10-27 |
| LC Amendment | 2015-08-31 |
| Florida Limited Liability | 2015-08-12 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
