| Entity Name: | HEARTLAND OF BROOKSVILLE FL, 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: | 27 Aug 2007 (18 years ago) |
| Date of dissolution: | 22 Nov 2022 (2 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 22 Nov 2022 (2 years ago) |
| Document Number: | M07000005236 |
| FEI/EIN Number |
26-0623416
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 333 N. Summit Street, Toledo, OH, 43604, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497702054 | 2006-05-28 | 2017-06-12 | 333 N SUMMIT ST, TOLEDO, OH, 436042615, US | 575 LAMAR AVE, BROOKSVILLE, FL, 346013228, US | |||||||||||||||||||||||||||||
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| Phone | +1 419-252-5500 |
| Fax | 8773859446 |
| Phone | +1 352-799-2226 |
| Fax | 3527993368 |
Authorized person
| Name | MR. MARTIN D ALLEN |
| Role | DIRECTOR |
| Phone | 4192525734 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1213096 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 032530900 |
| State | FL |
| Name | Role |
|---|---|
| HCR III HEALTHCARE, LLC | Member |
| C T CORPORATION SYSTEM | Agent |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2022-11-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-24 | 333 N. Summit Street, Toledo, OH 43604 | - |
| Name | Date |
|---|---|
| WITHDRAWAL | 2022-11-22 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-24 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-03-25 |
| ANNUAL REPORT | 2018-04-10 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-04-10 |
| ANNUAL REPORT | 2014-04-21 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 339556409 | 0420600 | 2014-01-22 | 575 LAMAR AVENUE, BROOKSVILLE, FL, 34601 | |||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001 |
| Citaton Type | Serious |
| Standard Cited | 19100037 A03 |
| Issuance Date | 2014-02-24 |
| Abatement Due Date | 2014-02-28 |
| Current Penalty | 2400.0 |
| Initial Penalty | 4000.0 |
| Final Order | 2014-03-20 |
| Nr Instances | 1 |
| Nr Exposed | 11 |
| Gravity | 5 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1910.37(a)(3): Exit route(s) were not kept free and unobstructed: a) for the exit routes in the kitchen areas located at 575 Lamar Avenue Brooksville (FL), as observed on or about 01/22/2014. In that the exit routes were observed to be obstructed by food tray carts. |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
