| Entity Name: | J2112, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Sep 2022 (2 years ago) |
| Document Number: | L22000404256 |
| FEI/EIN Number | 92-0584327 |
| Address: | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770, US |
| Mail Address: | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770, US |
| ZIP code: | 33770 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538884259 | 2022-10-05 | 2022-10-05 | 200 CLEARWATER LARGO RD S, LARGO, FL, 337703235, US | 11300 110TH AVE, SEMINOLE, FL, 337783711, US | |||||||||||||||
|
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| Phone | +1 727-489-0857 |
| Phone | +1 727-391-9986 |
Authorized person
| Name | KEVIN RYAN ROCKEFELLER |
| Role | MANAGER |
| Phone | 9044225231 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RK1 | Agent | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| ROCKEFELLER KEVIN RYAN | Manager | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Name | Role | Address |
|---|---|---|
| Hollenbeck Daniel | Auth | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Graham Brad | Auth | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL, 33770 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000124897 | WRIGHTS HEALTHCARE & REHABILITATION CENTER | ACTIVE | 2022-10-05 | 2027-12-31 | No data | 200 CLEARWATER LARGO RD S, LARGO, FL, 33770 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-27 | RK1 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 200 CLEARWATER LARGO ROAD SOUTH, LARGO, FL 33770 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-09-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
