| Entity Name: | TERRACE HEALTH NH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Jun 2014 (11 years ago) |
| Document Number: | M14000003808 |
| FEI/EIN Number | 36-4787178 |
| Address: | 7207 SW 24TH AVE., GAINESVILLE, FL 32607 |
| Mail Address: | 7207 SW 24th Ave., Gainesville, FL 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578977393 | 2014-06-19 | 2021-06-25 | 7207 SW 24TH AVE, GAINESVILLE, FL, 326073706, US | 7207 SW 24TH AVE, GAINESVILLE, FL, 326073706, US | |||||||||||||||||||||||
|
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| Phone | +1 352-333-0600 |
Authorized person
| Name | MOSHE SCHEINER |
| Role | CFO |
| Phone | 8135576200 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| License Number | SNF130471021 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 012234600 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| NH Operator Holdings II LLC | Authorized Representative | 368 New Hempstead Rd, Suite 219 New City, NY 10956 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000056311 | TERRACE HEALTH & REHABILIATION CENTER | EXPIRED | 2014-06-10 | 2024-12-31 | No data | 4417 13TH STREET STE 180, SAINT CLOUD, FL, 34769 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-08-26 | 7207 SW 24TH AVE., GAINESVILLE, FL 32607 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-04 | 7207 SW 24TH AVE., GAINESVILLE, FL 32607 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-03-07 |
| ANNUAL REPORT | 2022-04-05 |
| AMENDED ANNUAL REPORT | 2021-08-26 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-15 |
| AMENDED ANNUAL REPORT | 2018-07-19 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-04-04 |
Date of last update: 21 Jan 2025
Sources: Florida Department of State
