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2600 HIGHLANDS BOULEVARD, NORTH, LLC - Florida Company Profile

Company Details

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

National Provider Identifier

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

Contacts

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

Key Officers & Management

Name Role
CORPORATION SERVICE COMPANY Agent
FLORIDA HOLDINGS III, LLC Auth

Events

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 -

Documents

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

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
- IDV VA248BO0176 2010-02-01 - -
Unique Award Key CONT_IDV_VA248BO0176_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

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