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MANOR CARE OF PALM HARBOR FL, LLC - Florida Company Profile

Company Details

Entity Name: MANOR CARE OF PALM HARBOR 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: M07000005237
FEI/EIN Number 26-0624018

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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881641645 2006-05-27 2022-01-25 333 N SUMMIT ST, TOLEDO, OH, 436042615, US 2851 TAMPA RD, PALM HARBOR, FL, 346843314, US

Contacts

Phone +1 419-252-5500
Fax 8773859446
Phone +1 727-787-4777
Fax 7277843256

Authorized person

Name MR. MARTIN D ALLEN
Role DIRECTOR
Phone 4192525734

Taxonomy

Taxonomy Code 314000000X - Skilled Nursing Facility
License Number SNF1316096
State FL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 032569400
State FL

Key Officers & Management

Name Role Address
CT CORPORATION SYSTEM Agent 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324
Skiver Justin Manager 100 Madison, Toledo, OH, 43604

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000131213 ARDEN COURTS (WINTER SPRINGS) ACTIVE 2021-09-30 2026-12-31 - 333 N SUMMIT ST, TOLEDO, OH, 43604
G21000073332 PROMEDICA SKILLED NURSING AND REHABILITATION (PALM HARBOR) ACTIVE 2021-06-01 2026-12-31 - 333 N SUMMIT ST, TOLEDO, OH, 43604

Events

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 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-05-14
ANNUAL REPORT 2019-03-26
ANNUAL REPORT 2018-04-06
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-11
ANNUAL REPORT 2015-04-11

Date of last update: 02 May 2025

Sources: Florida Department of State