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COLONIAL SKILLED NURSING FACILITY, LLC - Florida Company Profile

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Company Details

Entity Name: COLONIAL SKILLED NURSING FACILITY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jun 2021 (4 years ago)
Document Number: L21000269589
FEI/EIN Number 871277132
Address: 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309, US
Mail Address: 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309, US
ZIP code: 33309
City: Fort Lauderdale
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Kaneti Ricki Manager 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309
Kaneti Ricki Agent 4901 NW 17th Way, Suite 303, Fort Lauderdale, FL, 33309

National Provider Identifier

NPI Number:
1417526674
Certification Date:
2025-03-17

Authorized Person:

Name:
RICKI KANETI
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-04-21 2090 N CONGRESS AVE, STE 100, WEST PALM BEACH, FL 33401 -
REGISTERED AGENT ADDRESS CHANGED 2023-04-21 4901 NW 17th Way, Suite 303, Ft Lauderdale, FL 33309 -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-21
ANNUAL REPORT 2022-04-22
Florida Limited Liability 2021-06-10

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Date of last update: 03 Aug 2025

Sources: Florida Department of State