Entity Name: | CARLTON SHORES NH 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: | 29 Jan 2010 (15 years ago) |
Document Number: | M10000000412 |
FEI/EIN Number |
271842333
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 1350 S NOVA ROAD, DAYTONA BEACH, FL, 32114-5812 |
Mail Address: | 1350 South Nova Road, 4042 PARK OAKS BLVD., SUITE 300, Daytona Beach, FL, 32114, US |
Place of Formation: | DELAWARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588986368 | 2010-02-22 | 2011-06-20 | 1350 S NOVA RD, DAYTONA BEACH, FL, 321145812, US | 1350 S NOVA RD, DAYTONA BEACH, FL, 321145812, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 386-258-5544 |
Fax | 3862555623 |
Authorized person
Name | MR. WILLIAM P MANDO |
Role | CFO |
Phone | 8136359500 |
Taxonomy
Taxonomy Code | 310400000X - Assisted Living Facility |
License Number | 6110 |
State | FL |
Is Primary | No |
Taxonomy Code | 314000000X - Skilled Nursing Facility |
License Number | 002213800 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 002213800 |
State | FL |
Name | Role | Address |
---|---|---|
NH Operator Holdings II LLC | Auth | 400 Rella blvd, Montebello, NY, 10901 |
CORPORATION SERVICE COMPANY | Agent | - |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G10000016910 | CARLTON SHORES HEALTH AND REHABILITATION CENTER | ACTIVE | 2010-02-22 | 2025-12-31 | - | 4042 PARK OAKS BLVD, 4042 PARK OAKS BLVD., SUITE 300, LAKELAND, FL, 33810 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF MAILING ADDRESS | 2021-03-04 | 1350 S NOVA ROAD, DAYTONA BEACH, FL 32114-5812 | - |
CHANGE OF PRINCIPAL ADDRESS | 2011-04-22 | 1350 S NOVA ROAD, DAYTONA BEACH, FL 32114-5812 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-13 |
ANNUAL REPORT | 2023-03-14 |
AMENDED ANNUAL REPORT | 2022-06-23 |
ANNUAL REPORT | 2022-01-26 |
ANNUAL REPORT | 2021-03-04 |
ANNUAL REPORT | 2020-04-07 |
ANNUAL REPORT | 2019-03-06 |
ANNUAL REPORT | 2018-03-21 |
ANNUAL REPORT | 2017-03-17 |
ANNUAL REPORT | 2016-04-25 |
Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
345856363 | 0419700 | 2022-03-24 | 1350 S NOVA RD., DAYTONA BEACH, FL, 32114 | |||||||||||||||||||||
|
Type | Complaint |
Activity Nr | 1549202 |
Health | Yes |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
3315598600 | 2021-03-16 | 0491 | PPP | 1350 S Nova Rd, Daytona Beach, FL, 32114-5812 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Date of last update: 01 Mar 2025
Sources: Florida Department of State