| Entity Name: | FIVE STAR CORAL SPRINGS 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: | 17 Jul 2009 (16 years ago) |
| Date of dissolution: | 30 Dec 2024 (3 months ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 30 Dec 2024 (3 months ago) |
| Document Number: | M09000002778 |
| FEI/EIN Number |
270672779
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 400 CENTRE STREET, NEWTON, MA, 02458 |
| Mail Address: | 400 CENTRE STREET, NEWTON, MA, 02458 |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245279256 | 2006-06-05 | 2019-03-28 | 8500 ROYAL PALM BLVD, CORAL SPRINGS, FL, 330655715, US | 8500 ROYAL PALM BLVD, CORAL SPRINGS, FL, 330655715, US | |||||||||||||||||||||||||
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| Phone | +1 954-752-9500 |
| Fax | 9547559559 |
Authorized person
| Name | KATHERINE E POTTER |
| Role | PRESIDENT & CHIEF EXECUTIVE OFFICER |
| Phone | 6177968387 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF1430095 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001806600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN GERARD M | Manager | Two Newton Place, NEWTON, MA, 02458 |
| PORTNOY ADAM D | Manager | Two Newton Place, NEWTON, MA, 02458 |
| Pereira Heather | Treasurer | 400 CENTRE STREET, NEWTON, MA, 02458 |
| CORPORATION SERVICE COMPANY | Agent | - |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000107193 | PARK SUMMIT AT CORAL SPRINGS | EXPIRED | 2015-10-21 | 2020-12-31 | - | 400 CENTRE STREET, NEWTON, MA, 02458 |
| G09000163854 | PARK SUMMIT AT CORAL SPRINGS | EXPIRED | 2009-10-09 | 2014-12-31 | - | 8500 ROYAL PALM BOULEVARD, CORAL SPRINGS, FL, 33065 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2024-12-30 | - | - |
| PENDING REINSTATEMENT | 2011-11-30 | - | - |
| REINSTATEMENT | 2011-11-29 | - | - |
| REVOKED FOR ANNUAL REPORT | 2010-09-24 | - | - |
| Name | Date |
|---|---|
| LC Withdrawal | 2024-12-30 |
| ANNUAL REPORT | 2024-04-15 |
| ANNUAL REPORT | 2023-03-16 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-20 |
| ANNUAL REPORT | 2020-02-17 |
| AMENDED ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2019-04-20 |
| ANNUAL REPORT | 2018-01-30 |
| ANNUAL REPORT | 2017-04-21 |
Date of last update: 03 Mar 2025
Sources: Florida Department of State
