| Entity Name: | SA-PG-CLEARWATER 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: | 18 Jun 2002 (23 years ago) |
| Date of dissolution: | 22 Mar 2017 (8 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 22 Mar 2017 (8 years ago) |
| Document Number: | M02000001573 |
| FEI/EIN Number |
010716277
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4 RED OAK LANE, SUITE 201, WHITE PLAINS, NY, 10604 |
| Mail Address: | 4 RED OAK LANE, SUITE 201, WHITE PLAINS, NY, 10604 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750387965 | 2005-06-22 | 2008-07-22 | 3480 MCMULLEN BOOTH ROAD, CLEARWATER, FL, 33761, US | 3480 N MCMULLEN BOOTH RD, CLEARWATER, FL, 337611421, US | |||||||||||||||||||||||||
|
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| Phone | +1 727-786-6697 |
| Fax | 7277810516 |
Authorized person
| Name | MR. ALEX PALEY |
| Role | COO |
| Phone | 9143904363 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1407096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025746000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | - |
| SA-PG OPERATOR HOLDINGS, LLC | Manager | 4 WEST RED OAK LN, STE 201, WHITE PLAINS, NY, 10604 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000045063 | PALM GARDEN OF CLEARWATER | EXPIRED | 2013-05-10 | 2018-12-31 | - | 3480 MCMULLEN BOOTH ROAD, CLEARWATER, FL, 37761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2017-03-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-07-22 | 4 RED OAK LANE, SUITE 201, WHITE PLAINS, NY 10604 | - |
| CHANGE OF MAILING ADDRESS | 2013-07-22 | 4 RED OAK LANE, SUITE 201, WHITE PLAINS, NY 10604 | - |
| REGISTERED AGENT NAME CHANGED | 2013-07-22 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-07-22 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J12001117392 | TERMINATED | 1000000441123 | PINELLAS | 2012-12-18 | 2022-12-28 | $ 2,730.41 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1401 W US HIGHWAY 90 STE 100, LAKE CITY FL320556123 |
| J09000031145 | TERMINATED | 006101634 | 15479 000452 | 2008-11-18 | 2029-01-22 | $ 20.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 3490 MARTIN HURST RD, TALLAHASSEE FL323121702 |
| J09000265511 | TERMINATED | 006101634 | 15479 000452 | 2008-11-18 | 2029-01-28 | $ 20.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE/CENTRAL COLLECTIONS UNIT, 3490 MARTIN HURST RD, TALLAHASSEE FL323121702 |
| Name | Date |
|---|---|
| LC Withdrawal | 2017-03-22 |
| ANNUAL REPORT | 2016-04-21 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-02-19 |
| Reg. Agent Change | 2013-07-22 |
| ANNUAL REPORT | 2013-04-26 |
| ANNUAL REPORT | 2012-02-08 |
| ANNUAL REPORT | 2011-01-27 |
| ANNUAL REPORT | 2010-02-18 |
| Reg. Agent Change | 2009-12-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
