| Entity Name: | LANGHAM HEALTHCARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jul 2018 (7 years ago) |
| Document Number: | L18000166891 |
| FEI/EIN Number | 83-1242990 |
| Mail Address: | 3012 Avenue J, Brooklyn, NY, 11210, US |
| Address: | 825 Santa Barbara Blvd, cape coral, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487131116 | 2018-07-25 | 2022-04-07 | 825 SANTA BARBARA BLVD, CAPE CORAL, FL, 339912072, US | 825 SANTA BARBARA BLVD, CAPE CORAL, FL, 339912072, US | |||||||||||||||||||||||
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| Phone | +1 239-574-8789 |
| Fax | 7182475952 |
| Phone | +1 727-697-9920 |
Authorized person
| Name | SOL GREENSTEIN |
| Role | MANAGING DIRECTOR |
| Phone | 7182561905 |
Taxonomy
| Taxonomy Code | 310400000X - Assisted Living Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101392600 |
| State | FL |
| Name | Role |
|---|---|
| ATLANTIS SENIOR LIVING LLC | Agent |
| Name | Role | Address |
|---|---|---|
| GREENSTEIN PINCHUS | Manager | 3012 Avenue J, BROOKLYN, NY, 11210 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000010524 | SUNSET GROVE ASSISTED LIVING | ACTIVE | 2024-01-18 | 2029-12-31 | No data | 825 SANTA BARBARA BOULEVARD, CAPE CORAL, FL, 33991 |
| G18000120319 | THE WOODLANDS | ACTIVE | 2018-11-08 | 2028-12-31 | No data | 3012 AVENUE J, 2ND FLOOR, BROOKLYN, NY, 11210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-01-24 | Atlantis Senior living | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-24 | 825 Santa Barbara Blvd, Cape Coral, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-11 | 825 Santa Barbara Blvd, cape coral, FL 33991 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-02-21 | 825 Santa Barbara Blvd, cape coral, FL 33991 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-17 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-11 |
| Florida Limited Liability | 2018-07-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
