| Entity Name: | CARROLLWOOD REHABILITATION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 May 2018 (7 years ago) |
| Document Number: | L18000112790 |
| FEI/EIN Number | 83-0837008 |
| Address: | 3030 W. Bearss Ave., Tampa, FL, 33618, US |
| Mail Address: | 101 SUNNYTOWN RD, SUITE 201, CASSELBERRY, FL, 32707, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457846453 | 2018-06-22 | 2019-07-29 | 101 SUNNYTOWN RD STE 201, CASSELBERRY, FL, 327073862, US | 3030 W BEARSS AVE, TAMPA, FL, 336181811, US | |||||||||||||||||
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| Phone | +1 407-830-5309 |
| Fax | 4078307775 |
| Phone | +1 813-698-8777 |
Authorized person
| Name | MR. DON MELTON |
| Role | CFO |
| Phone | 4078305309 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role |
|---|---|
| SOUTHERN HEALTHCARE MANAGEMENT, LLC | Manager |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000092252 | NORTHDALE REHABILITATION CENTER | ACTIVE | 2018-08-19 | 2028-12-31 | No data | 3030 W. BEARSS AVENUE, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-22 | 3030 W. Bearss Ave., Tampa, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-09 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-04-14 |
| ANNUAL REPORT | 2019-03-22 |
| Florida Limited Liability | 2018-05-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
