| Entity Name: | HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 27 Aug 2007 (18 years ago) |
| Document Number: | M07000005231 |
| FEI/EIN Number |
26-0623559
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 100 Madison, Toledo, OH, 43604, US |
| Mail Address: | 100 Madison, Toledo, OH, 43604, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790732287 | 2006-05-28 | 2017-06-16 | 333 N SUMMIT ST, TOLEDO, OH, 436042615, US | 3648 UNIVERSITY BLVD S, JACKSONVILLE, FL, 322164208, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 419-252-5500 |
| Fax | 8773859446 |
| Phone | +1 904-733-7440 |
| Fax | 9044489425 |
Authorized person
| Name | MR. MARTIN D ALLEN |
| Role | DIRECTOR |
| Phone | 4192525734 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1310096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032528700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| HCR III HEALTHCARE, LLC | Member | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-01 | 100 Madison Ave, Toledo, OH 43537 | - |
| CHANGE OF MAILING ADDRESS | 2024-05-01 | 100 Madison Ave, Toledo, OH 43537 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-14 |
| ANNUAL REPORT | 2019-03-23 |
| ANNUAL REPORT | 2018-04-07 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-11 |
| ANNUAL REPORT | 2015-04-10 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BO0079 | 2008-05-01 | - | - | |||||||||||||||||||||||
|
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| Obligated Amount | 0.00 |
| Potential Award Amount | 300000.00 |
Description
| Title | CLOSELY ASSOCIATED COMMUNITY NURSING HOME BOA HEARTLAND HEALTHCARE OF SOUTH JACKSONVILLE, FL LLC |
| NAICS Code | 623110: NURSING CARE FACILITIES |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | HEARTLAND-SOUTH JACKSONVILLE OF JACKSONVILLE FL, LLC |
| UEI | G8XNKB6EKPJ3 |
| Recipient Address | 3648 UNIVERSITY BLVD SOUTH, JACKSONVILLE, DUVAL, FLORIDA, 322164208, UNITED STATES |
Date of last update: 01 May 2025
Sources: Florida Department of State
