| Entity Name: | 2600 HIGHLANDS BOULEVARD, NORTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 Jun 2001 (24 years ago) |
| Date of dissolution: | 20 Dec 2023 (a year ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 20 Dec 2023 (a year ago) |
| Document Number: | M01000001238 |
| FEI/EIN Number |
061621884
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 101 EAST STATE STREET, KENNETT SQUARE, PA, 19348, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962425041 | 2006-07-26 | 2009-09-30 | 101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM, 871094373, US | 2600 HIGHLANDS BLVD N, PALM HARBOR, FL, 346842114, US | |||||||||||||||||||||||||||||
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| Phone | +1 505-468-5604 |
| Fax | 5054684681 |
| Phone | +1 727-785-5671 |
| Fax | 7277855486 |
Authorized person
| Name | WILLIAM A MATHIES |
| Role | PRESIDENT DIRECTOR |
| Phone | 5058213355 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF 10390964 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025344800 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| FLORIDA HOLDINGS III, LLC | Auth |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2023-12-20 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-29 | 101 EAST STATE STREET, KENNETT SQUARE, PA 19348 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2023-12-20 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-05 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-04-21 |
| ANNUAL REPORT | 2019-03-11 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-04 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-04-13 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BO0176 | 2010-02-01 | - | - | |||||||||||||||||||||
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| Title | PROVIDE NURSING HOME CARE TO VA BENEFICIARIES. |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | 2600 HIGHLANDS BOULEVARD, NORTH, LLC |
| UEI | ZP9DKNJWNTK7 |
| Legacy DUNS | 063486554 |
| Recipient Address | 2600 HIGHLANDS BLVD N, PALM HARBOR, 346842114, UNITED STATES |
Date of last update: 02 Mar 2025
Sources: Florida Department of State
