| Entity Name: | SA-PG - PINELLAS 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: | M02000001575 |
| FEI/EIN Number |
010716250
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4 WEST RED OAK LN, STE 201, WHITE PLAINS, NY, 10604 |
| Mail Address: | 4 WEST RED OAK LN, STE 201, WHITE PLAINS, NY, 10604 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013913235 | 2005-06-22 | 2008-07-23 | 200 16TH AVE SE, LARGO, FL, 337714400, US | 200 16TH AVE SE, LARGO, FL, 337714400, US | |||||||||||||||||||||||||
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| Phone | +1 727-585-9377 |
| Fax | 7275889038 |
Authorized person
| Name | MR. BRUCE WERTHEIM |
| Role | CFO |
| Phone | 9143904322 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1418095 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 025750800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SA-PG OPERATOR HOLDINGS, LLC | Manager | 4 WEST RED OAK LN, STE 201, WHITE PLAINS, NY, 10604 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000045099 | PALM GARDEN OF PINELLAS | EXPIRED | 2013-05-10 | 2018-12-31 | - | 200 16TH AVENUE SE, PINELLAS, FL, 33771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2017-03-22 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-07-22 | CORPORATION SERVICE COMPANY | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-07-22 | 1201 HAYS STREET, TALLAHASSEE, FL 32301-2525 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2009-04-21 | 4 WEST RED OAK LN, STE 201, WHITE PLAINS, NY 10604 | - |
| CHANGE OF MAILING ADDRESS | 2009-04-21 | 4 WEST RED OAK LN, STE 201, WHITE PLAINS, NY 10604 | - |
| 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 | 2012-02-07 |
| ANNUAL REPORT | 2011-01-27 |
| ANNUAL REPORT | 2010-02-18 |
| Reg. Agent Change | 2009-12-18 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
