| Entity Name: | 13455 GOLDEN LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 06 Sep 2017 (7 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | M17000007676 |
| FEI/EIN Number | N/A |
| Mail Address: | 6511 NOVA DR, STE 168, DAVIE, FL 33317 |
| Address: | 13455 WEST US HIGHWAY 90, GREENVILLE, FL 32331 |
| ZIP code: | 32331 |
| County: | Madison |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437673456 | 2017-08-01 | 2022-07-21 | 6511 NOVA DR STE 168, DAVIE, FL, 333177401, US | 13455 WEST HIGHWAY 90, GREENVILLE, FL, 32331, US | |||||||||||||||||||||||
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| Phone | +1 813-956-8090 |
| Phone | +1 954-367-4597 |
Authorized person
| Name | MARLINE C DUROSEAU |
| Role | CFO |
| Phone | 9543674563 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | APPLYING |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PLOURDE, JOYCE | Agent | 6511 NOVA DR, STE 168, DAVIE, FL 33317 |
| Name | Role | Address |
|---|---|---|
| PLOURDE, JOYCE | Manager | 6511 NOVA DR, STE 168 DAVIE, FL 33317 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000105244 | CROSSWINDS HEALTH AND REHABILITATION CENTER | EXPIRED | 2017-09-22 | 2022-12-31 | No data | 6511 NOVA DRIVE, SUITE 168, DAVIE, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-11 | 6511 NOVA DR, STE 168, DAVIE, FL 33317 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-06-11 |
| ANNUAL REPORT | 2019-04-16 |
| ANNUAL REPORT | 2018-04-16 |
| Foreign Limited | 2017-09-06 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
