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CRESTVIEW REHABILITATION CENTER, LLC - Florida Company Profile

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Company Details

Entity Name: CRESTVIEW REHABILITATION CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 28 Oct 2011 (14 years ago)
Document Number: M11000005434
FEI/EIN Number 300702809
Mail Address: 101 Sunnytown Road, Casselberry, FL, 32707, US
Address: 1849 First Avenue East, Crestview, FL, 32539, US
ZIP code: 32539
City: Crestview
County: Okaloosa
Place of Formation: DELAWARE

Key Officers & Management

Role
Agent
Manager

National Provider Identifier

NPI Number:
1821374505

Authorized Person:

Name:
MR. R. MARK CRONQUIST
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
No
Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fax:
4045742105
Fax:
8506825489

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-30 1849 First Avenue East, Crestview, FL 32539 -
REGISTERED AGENT ADDRESS CHANGED 2015-07-07 115 North Calhoun St., Suite 4, Tallahassee, FL 32301 -
CHANGE OF MAILING ADDRESS 2014-01-10 1849 First Avenue East, Crestview, FL 32539 -

Documents

Name Date
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-03-09
ANNUAL REPORT 2022-02-24
ANNUAL REPORT 2021-03-18
ANNUAL REPORT 2020-04-14
ANNUAL REPORT 2019-03-21
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-03-30
ANNUAL REPORT 2016-03-30
ANNUAL REPORT 2015-01-12

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-05-11
Type:
Monitoring
Address:
1849 FIRST AVENUE EAST, CRESTVIEW, FL, 32539
Safety Health:
Health
Scope:
Partial

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Date of last update: 02 Aug 2025

Sources: Florida Department of State