| Entity Name: | WOODLAND GROVE HEALTHCARE & REHABILITATION CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Mar 2022 (3 years ago) |
| Document Number: | M22000004387 |
| FEI/EIN Number | 88-1467125 |
| Mail Address: | 400 RELLA BLVD, MONTEBELLO, NY, 10901, US |
| Address: | 4325 Southpoint Blvd, Jacksonville, FL, 33216-6106, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477293090 | 2022-03-31 | 2022-03-31 | 4325 SOUTHPOINT BLVD, JACKSONVILLE, FL, 322166166, US | 4325 SOUTHPOINT BLVD, JACKSONVILLE, FL, 322166166, US | |||||||||||||
|
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| Phone | +1 904-245-7620 |
Authorized person
| Name | MOSHE SCHEINER |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8454906060 |
Taxonomy
| Taxonomy Code | 314000000X - Skilled Nursing Facility |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VSTATE FILINGS LLC | Agent |
| Name | Role | Address |
|---|---|---|
| WOODLAND GROVE SNF HOLDCO LLC | Managing Member | 400 RELLA BLVD, MONTEBELLO, NY, 10901 |
| Name | Role | Address |
|---|---|---|
| Reis Jennifer | Auth | 400 RELLA BLVD, MONTEBELLO, NY, 10901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000043902 | WOODLAND GROVE HEALTHCARE & REHABILITATION CENTER | ACTIVE | 2022-04-06 | 2027-12-31 | No data | 4325 SOUTHPOINT BLVD, JACKSONVILLE, FL, 33216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-08 | 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-22 | 4325 Southpoint Blvd, Jacksonville, FL 33216-6106 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-10 |
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-03-22 |
| Foreign Limited | 2022-03-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
