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THE PAVILION AT JACKSONVILLE FOR NURSING AND REHABILITATION, LLC - Florida Company Profile

Company Details

Entity Name: THE PAVILION AT JACKSONVILLE FOR NURSING AND 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: 23 Mar 2021 (4 years ago)
Document Number: M21000003338
FEI/EIN Number 86-2395308

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

Mail Address: 1 VALLEY GREENS DRIVE, VALLEY STREAM, NY, 11581, US
Address: 1771 EDGEWOOD AVE W, JACKSONVILLE, FL, 32208, US
ZIP code: 32208
County: Duval
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
MOERMAN RAFAEL A Manager 1 VALLEY GREENS DRIVE, VALLEY STREAM, NY, 11581
The Pavilion at Jacksonville Agent 1771 Edgewood Ave W, Jacksonville, FL, 32208

National Provider Identifier

NPI Number:
1063097921
Certification Date:
2021-03-12

Authorized Person:

Name:
RAFAEL A MOERMAN
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
314000000X - Skilled Nursing Facility
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000040871 THE PAVILION AT JACKSONVILLE ACTIVE 2021-03-25 2026-12-31 - 1771 EDGEWOOD AVE W, JACKSONVILLE, FL, 32208

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2022-02-09 The Pavilion at Jacksonville -
REGISTERED AGENT ADDRESS CHANGED 2022-02-09 1771 Edgewood Ave W, Jacksonville, Jacksonville, FL 32208 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-02-05
ANNUAL REPORT 2023-01-26
ANNUAL REPORT 2022-02-09
Foreign Limited 2021-03-23

Date of last update: 03 Jun 2025

Sources: Florida Department of State