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LANIER REHABILITATION CENTER LLC

Company Details

Entity Name: LANIER REHABILITATION CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 May 2018 (7 years ago)
Document Number: L18000112806
FEI/EIN Number 83-0540023
Mail Address: 101 SUNNYTOWN RD, SUITE 201, CASSELBERRY, FL, 32707, US
Address: 12740 Lanier Road, Jacksonville, FL, 32226, US
ZIP code: 32226
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932685880 2018-07-13 2018-07-13 101 SUNNYTOWN RD STE 201, CASSELBERRY, FL, 327073862, US 12740 LANIER RD, JACKSONVILLE, FL, 322261704, US

Contacts

Phone +1 470-830-5309
Fax 4708307775
Phone +1 904-757-2548
Fax 9044757047

Authorized person

Name MR. DON MELTON
Role CFO
Phone 4078305309

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role
COGENCY GLOBAL INC. Agent

Manager

Name Role
SOUTHERN HEALTHCARE MANAGEMENT, LLC Manager

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000071098 LANIER REHABILITATION CENTER ACTIVE 2018-06-25 2028-12-31 No data 12740 LANIER ROAD, JACKSONVILLE, FL, 32226

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-03-22 12740 Lanier Road, Jacksonville, FL 32226 No data

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-24
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: 02 Feb 2025

Sources: Florida Department of State