| Entity Name: | MULBERRY GROVE NH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 Oct 2009 (15 years ago) |
| Document Number: | M09000004099 |
| FEI/EIN Number | 271260493 |
| Mail Address: | 16529 SE 86th Belle Meade Circle, The Villages, FL, 32162, US |
| Address: | 16529 SE 86th Belle Meade Circle,, The Villages, FL, 32162, US |
| ZIP code: | 32162 |
| County: | Sumter |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912264136 | 2012-04-12 | 2021-06-27 | 16529 SE 86TH BELLE MEADE CIRCLE, THE VILLAGES, FL, 32162, US | 16529 SE 86TH BELLE MEADE CIRCLE, THE VILLAGES, FL, 32162, US | |||||||||||||||||||||||||
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| Phone | +1 352-385-8200 |
| Fax | 3523858888 |
Authorized person
| Name | MOSHE SCHEINER |
| Role | CEO |
| Phone | 8135576200 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130471050 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | SNF130471050 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| NH Operator Holdings II LLC | Director | 400 Rella blvd, Montebello, NY, 10901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000042887 | THE CLUB HEALTH AND REHABILITATION CENTER AT THE VILLAGES | EXPIRED | 2012-05-07 | 2017-12-31 | No data | C/O GREYSTONE HEALTHCARE MANAGEMENT CORP, 4042 PARK OAKS BLVD., SUITE 300, TAMPA, FL, 33610 |
| G11000090648 | THE CLUB HEALTH AND REHABILITATION CENTER AT THE VILLAGES | EXPIRED | 2011-09-14 | 2016-12-31 | No data | C/O GREYSTONE HEALTHCARE MANAGEMENT CORP, 4042 PARK OAKS BLVD., SUITE 300, TAMPA, FL, 33610 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-26 | 16529 SE 86th Belle Meade Circle,, The Villages, FL 32162 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-08 | 16529 SE 86th Belle Meade Circle,, The Villages, FL 32162 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-14 |
| AMENDED ANNUAL REPORT | 2022-06-02 |
| ANNUAL REPORT | 2022-01-25 |
| AMENDED ANNUAL REPORT | 2021-08-26 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-03-20 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
