| Entity Name: | ROYAL OAK NURSING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Sep 2000 (25 years ago) |
| Document Number: | M00000001944 |
| FEI/EIN Number |
621832435
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | ROYAL OAK NURSING CENTER, 37300 ROYAL OAK LANE, DADE CITY, FL, 33525 |
| Mail Address: | 37300 Royal Oak Lane, Dade City, FL, 33525, US |
| ZIP code: | 33525 |
| County: | Pasco |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588660922 | 2005-06-21 | 2012-04-04 | 37300 ROYAL OAK LN, DADE CITY, FL, 335255230, US | 37300 ROYAL OAK LN, DADE CITY, FL, 335255230, US | |||||||||||||||||||||||||
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| Phone | +1 352-567-3122 |
| Fax | 3525672250 |
Authorized person
| Name | MRS. ANITA E HOWARD |
| Role | ADMINISTRATOR |
| Phone | 3525673122 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF14840962 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022857500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Fisher Scott | Secretary | 7056 W GULF TO LAKE HWY, CRYSTAL RIVER, FL, 34429 |
| Shatz Jim | President | 7056 West Gulf to Lake Highway, Crystal River, FL, 34429 |
| Jackson Brian | Manager | 7056 West Gulf to Lake Highway, Crystal River, FL, 34429 |
| White Josh | Manager | 7056 West Gulf to Lake Highway, Crystal River, FL, 34429 |
| NRAI SERVICES, INC. | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000092901 | ROYAL OAK NURSING CENTER | ACTIVE | 2017-08-22 | 2027-12-31 | - | 37300 ROYAL OAK LANE, DADE CITY, FL, 33525 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-08 | ROYAL OAK NURSING CENTER, 37300 ROYAL OAK LANE, DADE CITY, FL 33525 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2012-02-08 | 1200 South Pine Island Road, Plantation, FL 33324 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2003-02-14 | ROYAL OAK NURSING CENTER, 37300 ROYAL OAK LANE, DADE CITY, FL 33525 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-03-20 |
| ANNUAL REPORT | 2022-04-14 |
| ANNUAL REPORT | 2021-04-29 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-26 |
| ANNUAL REPORT | 2017-04-26 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-04-27 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BO0139 | 2009-07-01 | - | - | |||||||||||||||||||||
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| Title | NURSING HOME |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | ROYAL OAK NURSING CENTER, LLC |
| UEI | Y8J8FKEJM422 |
| Legacy DUNS | 083632179 |
| Recipient Address | 37300 ROYAL OAK LN, DADE CITY, 335255230, UNITED STATES |
| Unique Award Key | CONT_IDV_V673P5357_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | MEDICAID RATE CHANGE |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | ROYAL OAK NURSING CENTER, LLC |
| UEI | Y8J8FKEJM422 |
| Legacy DUNS | 083632179 |
| Recipient Address | 37300 ROYAL OAK LN, DADE CITY, 335255230, UNITED STATES |
| Unique Award Key | CONT_AWD_V673P5357FY09_3600_V673P5357_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | COMMUNITY NURSING HOME EXPENDITURE - FY08 |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | ROYAL OAK NURSING CENTER, LLC |
| UEI | Y8J8FKEJM422 |
| Legacy DUNS | 083632179 |
| Recipient Address | 37300 ROYAL OAK LN, DADE CITY, 335255230, UNITED STATES |
| Unique Award Key | CONT_AWD_V673P5357FY08_3600_V673P5357_3600 |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | COMMUNITY NURSING HOME EXPENDITURE - FY08 |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | ROYAL OAK NURSING CENTER, LLC |
| UEI | Y8J8FKEJM422 |
| Legacy DUNS | 083632179 |
| Recipient Address | 37300 ROYAL OAK LN, DADE CITY, 335255230, UNITED STATES |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2637960 | Intrastate Non-Hazmat | 2022-12-14 | 40000 | 2021 | 1 | 3 | Auth. For Hire, Priv. Pass. (Business) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Safety Measurement System - Passenger Transportation
| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance Percentile | Less than 5 driver inspections |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance Percentile | Less than 5 vehicle inspections |
| Controlled Substances and Alcohol BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance Percentile | 0% |
| Unsafe Driving BASIC Roadside Performance Percentile | 0% |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Driver Fitness BASIC Roadside Performance Over Threshold Indicator | No |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Vehicle Maintenance BASIC Roadside Performance Over Threshold Indicator | No |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance Over Threshold Indicator | No |
| Driver Fitness BASIC Indicator | No |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Unsafe Driving BASIC Roadside Performance Over Threshold Indicator | No |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Vehicle Maintenance BASIC Indicator | No |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Controlled Substances and Alcohol BASIC Indicator | No |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Unsafe Driving Overall BASIC Indicator | No |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
