| Entity Name: | PALATKA NURSING AND REHAB OP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Feb 2022 (3 years ago) |
| Document Number: | L22000069897 |
| FEI/EIN Number | 88-0616342 |
| Address: | 501 S PALM AVE, PALATKA, fl 32177 UN |
| Mail Address: | 501 S PALM AVE, PALATKA, fl 32177 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437805033 | 2022-02-23 | 2023-03-01 | 501 S PALM AVE, PALATKA, FL, 321774147, US | 501 S PALM AVE, PALATKA, FL, 321774147, US | |||||||||||||
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| Phone | +1 386-328-1472 |
Authorized person
| Name | MR. YISROEL ROSENBAUM |
| Role | PRESIDENT |
| Phone | 3863281472 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ROSENBAUM, YISROEL | Agent | 501 S PALM AVE, PALATKA, FL 32177 |
| Name | Role | Address |
|---|---|---|
| ROSENBAUM, YISROEL | Authorized Member | 127 N OAKLAND ST, LAKEWOOD, NJ 08701 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000033337 | RADIANT NURSING & REHAB AT PALATKA | ACTIVE | 2022-03-14 | 2027-12-31 | No data | 22 BRIDGEWOOD AVE, LAKEWOOD, NJ, 08701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-07-11 | ROSENBAUM, YISROEL | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-10 | 501 S PALM AVE, PALATKA, fl 32177 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-15 |
| ANNUAL REPORT | 2023-07-11 |
| Florida Limited Liability | 2022-02-10 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
