| Entity Name: | RIVERWOOD NURSING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 03 Oct 2007 (17 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | M07000005940 |
| FEI/EIN Number | 260145074 |
| 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 |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| HAGAN ROBERT W | Managing Member | 995 CANTON STREET, ROSWELL, GA, 30075 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000141240 | GLENWOOD NURSING CENTER | EXPIRED | 2009-08-03 | 2014-12-31 | No data | 16 NORCROSS ST., SUITE 100, ROSWELL, GA, 30075 |
| G09000139410 | LONGWOOD NURSING CENTER | EXPIRED | 2009-07-28 | 2014-12-31 | No data | 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 | No data |
| REVOKED FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-29 | 995 CANTON STREET, SUITE 100, ROSWELL, GA 30075 | No data |
| CHANGE OF MAILING ADDRESS | 2016-03-29 | 995 CANTON STREET, SUITE 100, ROSWELL, GA 30075 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-04-14 | Registered Agents Inc. | No data |
| LC NAME CHANGE | 2009-10-05 | RIVERWOOD NURSING CENTER, LLC | No data |
| LC NAME CHANGE | 2009-08-14 | GLENWOOD NURSING CENTER, LLC | No data |
| 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 Feb 2025
Sources: Florida Department of State
