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CRYSTAL NURSING HOME 2021 LLC

Company Details

Entity Name: CRYSTAL NURSING HOME 2021 LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 17 Aug 2021 (3 years ago)
Date of dissolution: 23 Sep 2022 (2 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2022 (2 years ago)
Document Number: L21000369773
Address: 301 NE 141 ST, MIAMI, FL, 33161, US
Mail Address: 301 NE 141 ST, MIAMI, FL, 33161, US
ZIP code: 33161
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679249890 2021-08-18 2021-08-18 301 NE 141ST ST, MIAMI, FL, 331612837, US 48 HIGH POINT RD, TAVERNIER, FL, 330702006, US

Contacts

Phone +1 305-893-1102
Fax 3058932519
Phone +1 305-893-5000

Authorized person

Name MEIR COSIOL
Role MANAGER
Phone 3058931102

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
Is Primary Yes

Agent

Name Role Address
COSIOL MEIR Agent 301 NE 141 ST, MIAMI, FL, 33161

Manager

Name Role Address
PINES HOLDINGS 2021 LLC Manager 301 NE 141 ST, MIAMI, FL, 33161

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000111903 CRYSTAL HEALTH AND REHAB CENTER ACTIVE 2021-08-30 2026-12-31 No data 301 NE 141 ST, MIAMI, FL, 33161

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
Florida Limited Liability 2021-08-17

Date of last update: 01 Feb 2025

Sources: Florida Department of State