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THE CLUB HEALTHCARE AND REHABILITATION CENTER AT THE VILLAGES LLC - Florida Company Profile

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Company Details

Entity Name: THE CLUB HEALTHCARE AND REHABILITATION CENTER AT THE VILLAGES LLC
Jurisdiction: FLORIDA
Filing Type: Foreign Limited Liability Co.
Status: Active
Date Filed: 23 Mar 2022 (3 years ago)
Document Number: M22000004394
FEI/EIN Number 88-1373152
Address: 16529 SE 86th Belle Meade Circle, The Villages, FL, 32162, US
Mail Address: 16529 SE 86th Belle Meade Circle, The Villages, FL, 32162, US
ZIP code: 32162
City: The Villages
County: Sumter
Place of Formation: DELAWARE

Key Officers & Management

Name Role Address
- Agent -
THE CLUB SNF HOLDCO LLC Managing Member 400 RELLA BLVD, MONTEBELLO, NY, 10901
Mosaddad Hossin Auth 400 RELLA BLVD, MONTEBELLO, NY, 10901

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
TANIA ABRAHAM
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business
User ID:
P3302132
Trade Name:
THE CLUB HEALTH AND REHABILITATION CENTER AT THE VILLAGES

Commercial and government entity program

CAGE number:
9YV53
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-28
CAGE Expiration:
2030-05-28
SAM Expiration:
2026-05-26

Contact Information

POC:
TANIA ABRAHAM

National Provider Identifier

NPI Number:
1225787419
Certification Date:
2022-03-28

Authorized Person:

Name:
MOSHE SCHEINER
Role:
AUTHORIZED OFFICIAL
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
G22000043855 THE CLUB HEALTHCARE AND REHABILITATION CENTER AT THE VILLAGES ACTIVE 2022-04-06 2027-12-31 - 4417 13TH STREET STE 180, SAINT CLOUD, FL, 34769

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2025-01-08 7064 NORTHWEST 49TH STREET, LAUDERHILL, FL 33319 -
CHANGE OF MAILING ADDRESS 2024-09-12 16529 SE 86th Belle Meade Circle, The Villages, FL 32162 -
CHANGE OF PRINCIPAL ADDRESS 2023-03-22 16529 SE 86th Belle Meade Circle, The Villages, FL 32162 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-12
AMENDED ANNUAL REPORT 2024-07-25
ANNUAL REPORT 2024-02-12
AMENDED ANNUAL REPORT 2023-12-20
ANNUAL REPORT 2023-03-22
Foreign Limited 2022-03-23

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Date of last update: 02 Aug 2025

Sources: Florida Department of State