| Entity Name: | CRYSTAL HEALTH AND REHAB CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 May 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 30 Aug 2019 (5 years ago) |
| Document Number: | L18000111903 |
| FEI/EIN Number | 83-0780912 |
| Address: | 945 N Central Ave, woodmere, NY, 11598, US |
| Mail Address: | 945 N Central Ave, woodmere, NY, 11598, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609360544 | 2018-06-14 | 2018-06-14 | 99 W HAWTHORNE AVE STE L10, VALLEY STREAM, NY, 115806126, US | 48 HIGH POINT RD, TAVERNIER, FL, 330702006, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 516-504-9797 |
| Phone | +1 305-853-0799 |
Authorized person
| Name | EPHRAM LAHASKY |
| Role | MEMBER |
| Phone | 6467723668 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PLATINUM AGENT SERVICES LLC | Agent |
| Name | Role |
|---|---|
| STONEMED PLANTATION, LLC | Authorized Member |
| Name | Role | Address |
|---|---|---|
| Walden Jake | Auth | 945 N Central Ave, Woodmere, NY, 11598 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-07 | 155 OFFICE PLAZA DR, Suite D, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-07 | 945 N Central Ave, woodmere, NY 11598 | No data |
| CHANGE OF MAILING ADDRESS | 2020-02-07 | 945 N Central Ave, woodmere, NY 11598 | No data |
| LC STMNT OF RA/RO CHG | 2019-08-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-08-30 | PLATINUM AGENT SERVICES LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-27 |
| AMENDED ANNUAL REPORT | 2021-08-02 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-05-18 |
| CORLCRACHG | 2019-08-30 |
| ANNUAL REPORT | 2019-05-01 |
| Florida Limited Liability | 2018-05-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
