| Entity Name: | MANOR CARE OF FT. MYERS 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: | M07000005234 |
| FEI/EIN Number |
26-0624272
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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184671737 | 2006-05-28 | 2022-01-07 | 333 N SUMMIT ST, TOLEDO, OH, 436042615, US | 13881 EAGLE RIDGE DR, FT MYERS, FL, 339121866, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 419-252-5500 |
| Fax | 8773859446 |
| Phone | +1 239-561-7700 |
| Fax | 2395617800 |
Authorized person
| Name | MR. MARTIN D ALLEN |
| Role | DIRECTOR |
| Phone | 4192525734 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130471009 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032538400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| Skiver Justin | Manager | 100 Madison, Toledo, OH, 43604 |
| 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 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| 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 | - |
| 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 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | IDV | VA248BO0169 | 2009-11-01 | - | - | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Title | PROVIDE CARE FOR VA BENEFICIARIES. |
| NAICS Code | 623110: NURSING CARE FACILITIES (SKILLED NURSING FACILITIES) |
| Product and Service Codes | Q402: NURSING HOME CARE CONTRACTS |
Recipient Details
| Recipient | MANOR CARE OF FT. MYERS FL, LLC |
| UEI | FFWLJD1JRYF4 |
| Legacy DUNS | 183038947 |
| Recipient Address | 13881 EAGLE RIDGE DR, FORT MYERS, 339121866, UNITED STATES |
Date of last update: 02 May 2025
Sources: Florida Department of State
