| Entity Name: | VENICE NH, L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Feb 2005 (20 years ago) |
| Document Number: | M05000000535 |
| FEI/EIN Number | 202257842 |
| Address: | 832 SUNSET LAKE BLVD., VENICE, FL, 34292 |
| Mail Address: | 832 Sunset Lake Blvd, Venice, FL, 34292, US |
| ZIP code: | 34292 |
| County: | Sarasota |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801870712 | 2005-12-05 | 2021-06-27 | 832 SUNSET LAKE BLVD, VENICE, FL, 342927550, US | 832 SUNSET LAKE BLVD, VENICE, FL, 342927550, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 941-492-5313 |
| Fax | 9414925315 |
Authorized person
| Name | MOSHE SCHEINER |
| Role | CEO |
| Phone | 8135576200 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF15720961 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 030850100 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Greystone Tribeca Acquisition II LLC | Auth | 368 New Hempstead Rd, New City, NY, 10956 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G05168900026 | SUNSET LAKE HEALTH AND REHABILITATION CENTER | ACTIVE | 2005-06-17 | 2025-12-31 | No data | 4042 PARK OAKS BLVD, 4042 PARK OAKS BOULEVARD SUITE 300, LAKELAND, FL, 33810 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-03-05 | 832 SUNSET LAKE BLVD., VENICE, FL 34292 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-05 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
