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MANOR CARE OF FT. MYERS FL, LLC - Florida Company Profile

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Company Details

Entity Name: MANOR CARE OF FT. MYERS FL, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 27 Aug 2007 (18 years ago)
Document Number: M07000005234
FEI/EIN Number 26-0624272
Address: 100 Madison, Toledo, OH, 43604, US
Mail Address: 100 Madison, Toledo, OH, 43604, US
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
- Agent -
Skiver Justin Manager 100 Madison, Toledo, OH, 43604

Commercial and government entity program

CAGE number:
5RJX6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-11-10
CAGE Expiration:
2027-11-30
SAM Expiration:
2023-11-10

Contact Information

POC:
KIM OZUK

Highest Level Owner

Vendor Certified:
2022-11-11
CAGE number:
5C804
Company Name:
PROMEDICA HEALTH SYSTEMS, INC.

Immediate Level Owner

Vendor Certified:
2022-11-11
CAGE number:
8BY08
Company Name:
HCR III HEALTHCARE, LLC

National Provider Identifier

NPI Number:
1184671737
Certification Date:
2022-01-07

Authorized Person:

Name:
MR. MARTIN D ALLEN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
8773859446
Fax:
2395617800

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000041722 PROMEDICA SKILLED NURSING AND REHABILITATION (FT. MYERS EAST) ACTIVE 2021-03-26 2026-12-31 - 333 N. SUMMIT ST., TOLEDO, OH, 43604

Events

Event Type Filed Date Value Description
WITHDRAWAL 2025-06-24 - -
CHANGE OF PRINCIPAL ADDRESS 2024-05-01 333 N. Summit Street, Toledo, OH 43604 -
CHANGE OF MAILING ADDRESS 2024-05-01 333 N. Summit Street, Toledo, OH 43604 -

Documents

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 2018-04-06
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-10
ANNUAL REPORT 2015-04-11

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24818N4872
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
70000.00
Base And Exercised Options Value:
70000.00
Base And All Options Value:
70000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2018-07-01
Description:
COMMUNITY NURSING HOME CARE SERVICE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
36C24818N3769
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
70000.00
Base And Exercised Options Value:
70000.00
Base And All Options Value:
70000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2018-05-01
Description:
NURSING HOME SERVICES
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS
Procurement Instrument Identifier:
VA24817J2536
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
532001.80
Base And Exercised Options Value:
532001.80
Base And All Options Value:
532001.80
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2017-05-01
Description:
IGF::OT::IGF COMMUNITY NURSING HOME CARE SERVICE
Naics Code:
623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES)
Product Or Service Code:
Q402: MEDICAL- NURSING HOME CARE CONTRACTS

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Date of last update: 02 Jul 2025

Sources: Florida Department of State