| Entity Name: | RIVERWOOD NURSING CENTER, 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: | 03 Oct 2007 (18 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | M07000005940 |
| FEI/EIN Number |
260145074
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 995 CANTON STREET, SUITE 100, ROSWELL, GA, 30075, US |
| Mail Address: | 995 CANTON STREET, SUITE 100, ROSWELL, GA, 30075, US |
| Place of Formation: | GEORGIA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891797874 | 2005-08-10 | 2008-05-14 | 40 ACME ST, JACKSONVILLE, FL, 322117953, US | 40 ACME ST, JACKSONVILLE, FL, 322117953, US | |||||||||||||||||||||
|
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| Phone | +1 904-724-5933 |
| Fax | 9047211274 |
Authorized person
| Name | MS. MARY LU FLORY |
| Role | VP OPERATIONS |
| Phone | 7709934000 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 02509700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HAGAN ROBERT W | Managing Member | 995 CANTON STREET, ROSWELL, GA, 30075 |
| REGISTERED AGENTS INC | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000141240 | GLENWOOD NURSING CENTER | EXPIRED | 2009-08-03 | 2014-12-31 | - | 16 NORCROSS ST., SUITE 100, ROSWELL, GA, 30075 |
| G09000139410 | LONGWOOD NURSING CENTER | EXPIRED | 2009-07-28 | 2014-12-31 | - | 16 NORCROSS ST., SUITE 100, ROSWELL, GA, 30075 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-25 | 7901 4TH STREET NORTH, SUITE 300, ST.PETERSBURG, FL 33702 | - |
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-29 | 995 CANTON STREET, SUITE 100, ROSWELL, GA 30075 | - |
| CHANGE OF MAILING ADDRESS | 2016-03-29 | 995 CANTON STREET, SUITE 100, ROSWELL, GA 30075 | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-14 | Registered Agents Inc. | - |
| LC NAME CHANGE | 2009-10-05 | RIVERWOOD NURSING CENTER, LLC | - |
| LC NAME CHANGE | 2009-08-14 | GLENWOOD NURSING CENTER, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-08 |
| ANNUAL REPORT | 2014-04-14 |
| ANNUAL REPORT | 2013-04-23 |
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-03-31 |
| ANNUAL REPORT | 2010-04-28 |
| LC Name Change | 2009-10-05 |
| LC Name Change | 2009-08-14 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
