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BLOUNTSTOWN HEALTH AND REHABILITATION CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: BLOUNTSTOWN HEALTH AND REHABILITATION CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Inactive
Date Filed: 22 Dec 2008 (17 years ago)
Date of dissolution: 09 Nov 2009 (16 years ago)
Last Event: LC WITHDRAWAL
Event Date Filed: 09 Nov 2009 (16 years ago)
Document Number: M08000005510
Address: 1978 8TH AVE NW, HICKORY, NC, 28601
Mail Address: 1978 8TH AVE NW, HICKORY, NC, 28601
Place of Formation: VIRGINIA

Key Officers & Management

Name Role Address
DOMINION HEALTH CARE OPERATOR, LLC Manager 1978 8TH AVE NW, HICKORY, NC, 28601
- Agent -

National Provider Identifier

NPI Number:
1033360862

Authorized Person:

Name:
MR. STEVEN D WOMACK
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
8283229598
Fax:
8506743798

Form 5500 Series

Employer Identification Number (EIN):
873508681
Plan Year:
2023
Number Of Participants:
101
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-08-01 1978 8TH AVE NW, HICKORY, NC 28601 -
CHANGE OF MAILING ADDRESS 2025-08-01 1978 8TH AVE NW, HICKORY, NC 28601 -
CHANGE OF PRINCIPAL ADDRESS 2024-08-01 1978 8TH AVE NW, HICKORY, NC 28601 -
CHANGE OF MAILING ADDRESS 2024-08-01 1978 8TH AVE NW, HICKORY, NC 28601 -
LC WITHDRAWAL 2009-11-09 - -
REVOKED FOR ANNUAL REPORT 2009-09-25 - -

Documents

Name Date
LC Withdrawal 2009-11-09
Foreign Limited 2008-12-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State