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POWERBACK REHABILITATION, LLC - Florida Company Profile

Company Details

Entity Name: POWERBACK REHABILITATION, 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 Jun 2016 (9 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 27 Dec 2022 (2 years ago)
Document Number: M16000005232
FEI/EIN Number 23-2446104

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 101 E. STATE ST., KENNETT SQUARE, PA, 19348, US
Mail Address: 101 E. STATE ST., KENNETT SQUARE, PA, 19348, US
Place of Formation: PENNSYLVANIA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1295306116 2021-07-02 2023-05-31 101 E STATE ST, KENNETT SQUARE, PA, 193483109, US 9700 PENSACOLA BLVD, PENSACOLA, FL, 325341242, US

Contacts

Phone +1 800-728-8808

Authorized person

Name CARL ANTHONY SHROM
Role CEO
Phone 2158960422

Taxonomy

Taxonomy Code 261QR0400X - Rehabilitation Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
GENESIS HOLDINGS LLC Manager -
Shrom Carl Secretary 101 E. STATE ST., KENNETT SQUARE, PA, 19348
Shrom Carl Vice President 101 E. STATE ST., KENNETT SQUARE, PA, 19348
Bogdan Gregory Vice President 101 E. STATE ST., KENNETT SQUARE, PA, 19348
Young Steven Treasurer 101 E. STATE ST., KENNETT SQUARE, PA, 19348
Berg Michael Asst 101 E. STATE ST., KENNETT SQUARE, PA, 19348
CORPORATION SERVICE COMPANY Agent -

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000065798 POWERBACK CONSULTING ACTIVE 2022-05-27 2027-12-31 - 101 E. STATE STREET, KENNETT SQUARE, PA, 19348
G22000065799 POWERBACK REHABILITATION TO YOU ACTIVE 2022-05-27 2027-12-31 - 101 E. STATE STREET, KENNETT SQUARE, PA, 19348
G22000065803 POWERBACK REHABILITATION ACTIVE 2022-05-27 2027-12-31 - 101 E. STATE STREET, KENNETT SQUARE, PA, 19348
G15000082398 GENESIS REHABILITATION SERVICES ACTIVE 2015-08-10 2025-12-31 - 101 E STATE ST, KENNETT SQUARE, PA, 19348

Events

Event Type Filed Date Value Description
LC AMENDMENT AND NAME CHANGE 2022-12-27 POWERBACK REHABILIITATION, LLC -
LC AMENDMENT 2016-11-21 - -

Documents

Name Date
ANNUAL REPORT 2024-04-05
ANNUAL REPORT 2023-03-22
LC Amendment and Name Change 2022-12-27
AMENDED ANNUAL REPORT 2022-07-07
ANNUAL REPORT 2022-04-05
ANNUAL REPORT 2021-03-15
ANNUAL REPORT 2020-04-21
ANNUAL REPORT 2019-03-12
ANNUAL REPORT 2018-01-02
ANNUAL REPORT 2017-01-04

Date of last update: 01 Mar 2025

Sources: Florida Department of State